Chronic Post-stroke Psychosis with Left Cortical and Bilateral Inferior Cerebellar Involvement

Cureus. 2019 Dec 21;11(12):e6437. doi: 10.7759/cureus.6437.

Abstract

Post-stroke psychosis is the presence of delusions and/or hallucinations that result from an infarct in the cerebrovascular network. Involvement of a predominantly right-sided cortical pathology has been described in triggering the psychosis. In identified cases, patients often have little to no prior psychiatric history. We report a case of a 70-year-old female with chronic post-stroke psychosis consisting of auditory hallucinations and persecutory delusions. Our patient serves as a unique case in not only contributing to the limited number of documentations overall, but also in highlighting a presentation with infarction of the left parietal-temporal-occipital cortex and bilateral inferior cerebellum.

Keywords: neuropsychiatric symptoms; post-stroke psychosis.

Publication types

  • Case Reports