Case Report: Thalamic Stroke Patient with Neuropsychiatric Symptoms

Abstract

Vascular dementia presents a complex clinical picture when compounded by rare vascular events of such as thalamic stroke. This case report highlights the pivotal role of early psychiatric consultation and neuropsychological testing in the management of vascular dementia, particularly in the context of a thalamic stroke. A 81-year-old male presented with cognitive decline, depressive symptoms, and functional impairment following a vascular stroke. Prompt psychiatric evaluation and comprehensive neuropsychological assessment revealed concurrent vascular dementia and geriatric depression along with localization of vascular stroke. Early intervention with tailored pharmacotherapy targeting both cognitive and mood symptoms yielded significant improvement in cognitive function, mood, management of delirium and overall functional status. Moreover, the incorporation of psychiatric rehabilitation strategies facilitated enhanced recovery and long-term prognosis. This case underscores the critical importance of multidisciplinary collaboration involving psychiatrists, neurologists, and rehabilitation specialists in the holistic management of vascular dementia. Early identification of psychiatric symptoms through thorough evaluation and timely intervention not only improves short-term outcomes but also holds promise for mitigating long-term disability and optimizing the quality of life in patients with vascular dementia and associated thalamic stroke. Further research is warranted to delineate optimal treatment approaches and rehabilitation strategies in this vulnerable population