Ann Rehabil Med.  2016 Jun;40(3):412-419. 10.5535/arm.2016.40.3.412.

Predictors of Depressive Mood in Patients With Isolated Cerebellar Stroke: A Retrospective Study

• Koh DJ
• Kim NY
• Kim YW

• KMID: 2327602
• DOI: http://doi.org/10.5535/arm.2016.40.3.412

Abstract

OBJECTIVE
To identify predictive factors of depressive mood in patients with isolated cerebellar stroke.
METHODS
A retrospective chart review was performed in patients who had experienced their first isolated cerebellar stroke during 2002-2014. The patients were classified into two groups by the Geriatric Depression Scale (GDS) (non-depressive group, 0≤GDS≤16; depressive group, 17≤GDS≤30). Data on demographic and socioeconomic factors, comorbidities, functional level, cognitive and linguistic function, and stroke characteristics were collected. Significant variables in univariate analysis were analyzed using logistic regression.
RESULTS
Fifty-two patients were enrolled, of whom 55.8% had depressive mood, were older (p=0.021), and had higher hypertension rates (p=0.014). Cognitive and linguistic functions did not differ between the two groups. The depressive group had higher ischemic stroke rates (p=0.035) and showed a dominant right posterior cerebellar hemisphere lesion (p=0.028), which was independently associated with depressive mood in the multiple logistic regression analysis (odds ratio, 5.081; 95% confidence interval, 1.261-20.479).
CONCLUSION
The risk of depressive mood after cerebellar stroke was increased in patients at old age, with a history of hypertension, ischemic stroke, and lesion of the right posterior cerebellar hemisphere. The most significant determining factor was stroke lesion of the right posterior cerebellar hemisphere. Early detection of risk factors is important to prevent and manage depressive mood after cerebellar stroke.

Keyword

Cerebellum; Stroke; Depression; Risk factors

MeSH Terms

Cerebellum
Comorbidity
Depression
Humans
Hypertension
Linguistics
Logistic Models
Retrospective Studies*
Risk Factors
Socioeconomic Factors
Stroke*

Figure

• 

  Fig. 1 Flowchart of the subjects. A total of 137 patients with cerebellar stroke were assessed from January 1, 2002 to December 31, 2014. Finally, 52 patients were included and they were classified into two groups according to the Geriatric Depression Scale (GDS).

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