Diagnosis of Hypoactivity with Apathy in Stroke
A range of instruments are currently used to measure apathy in stroke . The most frequently used scales are the Apathy Evaluation Scale , the Starkstein Apathy Scale , and the Neuropsychiatric Inventory . The Neuropsychiatric Inventory was been selected for the National Institute of Neurological Disorders and Stroke-Canadian Stroke Network’s vascular cognitive impairment harmonization standards . However, the prevalence of apathy reported using the Neuropsychiatric Inventory was found to be lower than in studies using other informant-based scales (23 % vs. 39. 4 %, respectively) . Administration of the Behavioral Dysexecutive Syndrome Inventory has shown that hypoactivity with apathy is the most frequent behavioral change [3, 175]. Furthermore, behavioral disorders were more frequent in cerebral infarct and hemorrhage than in ruptured aneurysm and cerebral venous thrombosis [3, 175].
Management of Apathy in Stroke
Several case reports and a few trials on small patient populations have been reported (for review, ) with contradictory results. There is no evidence to support the use of a specific pharmacological treatment.