In conclusion, depression is the most frequent neuropsychiatric
disease of brain ischemia, affecting up to 35%
of all such patients. PSD is associated with negative
outcome of functional recovery, cognition and social
reintegration of stroke patients. During de past decade,
significant efforts have been made to establish an efficient
treatment of PSD in the elderly. So far, preclinical
and translational research on PSD is largely lacking. The
implementation and characterization of suitable animal
models is clearly a major prerequisite for deeper insights
into the biological basis of post-stroke mood disturbances
and may also pave the way for the discovery of novel
therapeutic targets. Nevertheless it is unlikely that monotherapies
will provide a cure for PSD. Rather multitherapeutic
strategies should be at the focus of future clinical
trials conducted on PSD and mood disorders patients
without cerebral ischemia that show the same clinical
profile. In this light, future research is needed to identify
the molecular mechanism of disease and to establish
the pathways that are modulated by antidepressant
drugs leading to a better cognitive recovery in the elderl
In conclusion, depression is the most frequent neuropsychiatricdisease of brain ischemia, affecting up to 35%of all such patients. PSD is associated with negativeoutcome of functional recovery, cognition and socialreintegration of stroke patients. During de past decade,significant efforts have been made to establish an efficienttreatment of PSD in the elderly. So far, preclinicaland translational research on PSD is largely lacking. Theimplementation and characterization of suitable animalmodels is clearly a major prerequisite for deeper insightsinto the biological basis of post-stroke mood disturbancesand may also pave the way for the discovery of noveltherapeutic targets. Nevertheless it is unlikely that monotherapieswill provide a cure for PSD. Rather multitherapeuticstrategies should be at the focus of future clinicaltrials conducted on PSD and mood disorders patientswithout cerebral ischemia that show the same clinicalprofile. In this light, future research is needed to identifythe molecular mechanism of disease and to establishthe pathways that are modulated by antidepressantdrugs leading to a better cognitive recovery in the elderl
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