Vol. 7 nº 3 - Jul/Aug/Set de 2013
Case Report Páginas: 312 a 315

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

Authors Raquel Quimas Molina da Costa1; Fábio Henrique de Gobbi Porto2; Rogério Paysano Marrocos3


keywords: apathy, depression, traumatic brain injury.

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.


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