Abstract
A patient with prominent apathy secondary to multiple subcortical infarcts was treated successfully with methylphenidate. SPECT and reaction time testing showed selective improvement of frontal system function, consistent with a recent model of frontal-subcortical circuits and behavior.
MeSH terms
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Activities of Daily Living / psychology
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Adult
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Central Nervous System Stimulants / adverse effects
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Central Nervous System Stimulants / therapeutic use*
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Cerebral Infarction / diagnostic imaging
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Cerebral Infarction / drug therapy*
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Cerebral Infarction / psychology
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Frontal Lobe / blood supply
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Humans
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Male
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Methylphenidate / adverse effects
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Methylphenidate / therapeutic use*
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Motivation*
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Neurocognitive Disorders / diagnostic imaging
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Neurocognitive Disorders / drug therapy*
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Neurocognitive Disorders / psychology
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Regional Blood Flow / drug effects
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Social Behavior
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Tomography, Emission-Computed, Single-Photon
Substances
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Central Nervous System Stimulants
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Methylphenidate