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Original Article

The Correlation between Post-stroke Depression and Lesion Location.

Kim, Jun Yeon , Kim, Tae Gun , Noh, Jae Hyun , Kim, Dong Hyup , Kim, Chul Hyun , Lee, Yang Soo , Jung, Tae Du
Journal of the Korean Academy of Rehabilitation Medicine 2008;32(3):285-288.
1Department of Rehabilitation Medicine, Kyungpook National University College of Medicine, Korea. teeed0522@naver.com
2Department of Rehabilitation Medicine, Daegu Fatima Hospital, Korea.
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Objective
To localize lesions which correlate with depression after stroke. Method: This study was performed in 98 stroke patients who admitted at two hospitals in Daegu in 2006. Lesions on magnetic resonance imaging were reviewed by same neuroradiologist and depression was diagnosed by same phychiatrist using DSM-III-R and ICD-10 criteria. We tried to find the correlation between the lesion location and depression.Results: Depression was not related to age, sex, dominant hemisphere, underlying disease (HTN, DM, heart disease), and many lesions of interest of brain. Lesions in prefrontal area, limbic lobe, cingulate gyrus, post white matter and frontal lobe correlated significantly with depression.Conclusion: We found that there was a strong correlation between post stroke depression and the pathologic lesion which is frontal-subcortical circuit except basal ganglion and thalamus. (J Korean Acad Rehab Med 2008; 32: 285-288)

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