Dissociation of depression from apathy in traumatic brain injury: a case report

Although not evident clinically, lesions to the prefrontal cortex cause great social and functional impairment to patients. The anterior cingulate cortex is intimately involved with motivational behavior and after injury to this area the onset of an apathetic state can be observed. This paper descri...

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Published inDementia & neuropsychologia Vol. 7; no. 3; pp. 312 - 315
Main Authors da Costa, Raquel Quimas Molina, Porto, Fábio Henrique de Gobbi, Marrocos, Rogério Paysano
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Associação de Neurologia Cognitiva e do Comportamento 01.09.2013
Associação Neurologia Cognitiva e do Comportamento
Subjects
A Case Report
apathy
CLINICAL NEUROLOGY
depression
GERIATRICS & GERONTOLOGY
HEALTH CARE SCIENCES & SERVICES
MEDICINE, GENERAL & INTERNAL
NURSING
PSYCHIATRY
PSYCHOLOGY
traumatic brain injury
traumatic brain injury
apathy
depression
lesão encefálica traumática
apatia
depressão
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Summary:Although not evident clinically, lesions to the prefrontal cortex cause great social and functional impairment to patients. The anterior cingulate cortex is intimately involved with motivational behavior and after injury to this area the onset of an apathetic state can be observed. This paper describes the case of a patient with traumatic brain injury to the prefrontal lobe presenting with a depressive syndrome associated with apathetic symptoms. After appropriate treatment for depression, intense apathy was revealed, an irreversible sequelae of the traumatic brain injury, constituting the main barrier to the patient's return of lifestyle and independence.
ISSN:1980-5764
1980-5764
DOI:10.1590/s1980-57642013dn70300014