Emotional dysmetria after cerebellar-pontine stroke: a case report

dc.contributor.authorLong, Rebecca M.
dc.contributor.authorDuVal, Michèle
dc.contributor.authorMulvany-Robbins, Bridget
dc.contributor.authorWagner, Amanda N.
dc.contributor.authorJickling, Glen C.
dc.date.accessioned2023-12-19T07:24:35Z
dc.date.available2023-12-19T07:24:35Z
dc.date.issued2023-12-15
dc.date.updated2023-12-19T07:24:34Z
dc.description.abstractAbstract Introduction Pseudobulbar affect, or emotional dysregulation, commonly occurs following stroke. However, it is frequently missed in cases involving the cerebellum, resulting in a lack of treatment, which can directly impact stroke rehabilitation. Case presentation A 63-year-old Caucasian female with no history of mood disorders presented with gait instability, dysarthria, and right sided hemiplegia, secondary to cerebellar and pontine ischemic stroke from a basilar occlusion. She underwent endovascular therapy and her deficits gradually improved. However during recovery she began to develop uncontrollable tearfulness while retaining insight that her emotional expression was contextually inappropriate. She was treated with a selective serotonin reuptake inhibitor with reported improvements in her emotional regulation at one year follow up. Conclusion This case highlights cerebellar injury as a potential cause of poorly regulated emotions, or an emotional dysmetria. The recognition of this disorder in patients with cerebellar or pontine strokes is critical, as untreated pseudobulbar affect can impact future stroke rehabilitation.
dc.identifier.citationJournal of Medical Case Reports. 2023 Dec 15;17(1):544
dc.identifier.urihttps://doi.org/10.1186/s13256-023-04294-1
dc.identifier.urihttps://hdl.handle.net/1880/117772
dc.identifier.urihttps://doi.org/10.11575/PRISM/42615
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.titleEmotional dysmetria after cerebellar-pontine stroke: a case report
dc.typeJournal Article
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