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Anger and stroke: a potential association that deserves serious consideration

Published online by Cambridge University Press:  01 July 2016

Pedro Banho Rosa
Affiliation:
Department of Neurology, Medical School, Universidade Metropolitana de Santos, SP, Brazil
Bruna Orquiza
Affiliation:
Department of Neurology, Medical School, Universidade Metropolitana de Santos, SP, Brazil
Filipe Benetti Rocha
Affiliation:
Department of Neurology, Medical School, Universidade Metropolitana de Santos, SP, Brazil
Rafael Werlanger Donadel
Affiliation:
Department of Neurology, Medical School, Universidade Metropolitana de Santos, SP, Brazil
Rodrigo Pizzolante Diniz
Affiliation:
Department of Neurology, Medical School, Universidade Metropolitana de Santos, SP, Brazil
Tamara Maia Nestlehner Beloni
Affiliation:
Department of Neurology, Medical School, Universidade Metropolitana de Santos, SP, Brazil
Joara Turi Aniceto
Affiliation:
Department of Neurology, Medical School, Universidade Metropolitana de Santos, SP, Brazil
Yara Dadalti Fragoso*
Affiliation:
Department of Neurology, Medical School, Universidade Metropolitana de Santos, SP, Brazil
*
Yara Dadalti Fragoso, Department of Neurology, Medical School, UNIMES, Rua da Constituicao 374, CEP 11015-470, Santos, SP, Brazil. Tel: +55 13 3226 3400; Fax: +55 13 3226 3400; E-mail: yara@bsnet.com.br

Abstract

Objective

To assess the relationship between states of anger and stroke.

Methods

Systematic review of the literature.

Results

In total, 21 papers were selected for the systematic review of data published on the subject of anger and stroke. A state of anger may be a risk factor for stroke, as well as a consequence of brain lesions affecting specific areas that are caused by a stroke. Scales to assess anger varied among authors. There was no consensus regarding the area of brain lesions that might lead to a state of anger. Although some authors agreed that lesions on the right side led to angrier behaviour, others found that lesions on the left side were more relevant to anger. Likewise, there was no consensus regarding the prevalence of anger pre or post-stroke. Some authors did not even find that these two conditions were related.

Conclusion

Although most authors have accepted that there is a relationship between anger and stroke, studies with uniform methodology need to be conducted if this association is to be properly evaluated and understood.

Type
Short Communication
Copyright
© Scandinavian College of Neuropsychopharmacology 2016 

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