Recall of traumatic memories following cerebral vascular accident

We present a case of delayed post-traumatic stress disorder (PTSD) in a WWII combat veteran who developed symptoms following medical retirement. Following a subsequent cerebral accident (CVA) Mr. J experienced intrusive thoughts, recalled forgotten war memories, began avoiding reminders of war (e.g., stopped teaching marksmanship), and experienced dissociative episodes in which he felt as though he was in hand-to-hand combat. Mr. J's example suggests that the disinhibiting sequelae of CVA's, and other neuropsychological deteriorations that are likely to occur with poor health and advancing age, may influence expression of PTSD symptoms.