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Behavioural Neurology
Volume 27, Issue 3, Pages 287-291
Clinical Note

Delayed-Onset Post-Stroke Delusional Disorder: A Case Report

Raíssa B. Barboza,1,2 Gabriel R. De Freitas,3,4 Fernanda Tovar-Moll,3,5 and Leonardo F. Fontenelle1,2,5

1Departamento de Psiquiatria e Medicina Legal and Instituto de Psiquiatria, Programa de Ansiedade e Depressão, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
2Departamento de Psiquiatria e Saúde Mental, Universidade Federal Fluminense, Niterói, RJ, Brazil
3Instituto D’Or de Pesquisa e Ensino (IDOR), Rio de Janeiro, RJ, Brazil
4Serviço de Neurologia, Universidade Federal Fluminense, Niterçi, RJ, Brazil
5Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil

Received 22 April 2013; Accepted 22 April 2013

Copyright © 2013 Hindawi Publishing Corporation and the authors. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Although the prevalence of neuropsychiatric disorders among patients with cerebrovascular illness is relatively high, there are only few case reports describing post-stroke psychotic symptoms. In general, post-stroke psychoses have been reported to emerge few days after the vascular event and to vanish soon afterwards. In this report, we describe delayed-onset post-stroke delusional disorder, persecutory type. A middle-aged female patient developed a persistent delusional disorder with homicidal behavior about one year after a cerebrovascular accident affecting the right fronto-temporo-parietal region and a long period of chronic post-stroke mixed anxiety and depressive symptoms. Our case suggests that there might be long intervals between stroke and the appearance of psychotic symptoms.