التفاصيل البيبلوغرافية
| العنوان: |
Akinetic mutism—not coma. |
| المؤلفون: |
Shetty, Anita Chittaranjan1, Morris, John2, O'Mahony, paul1 paul.o'mahony@mayday.nhs.uk |
| المصدر: |
Age & Ageing. May2009, Vol. 38 Issue 3, p350-351. 2p. 1 Black and White Photograph. |
| مصطلحات موضوعية: |
*AKINETIC mutism, *BRAIN stem diseases, *MOVEMENT disorders, *COMA, *SEARCHES & seizures (Law), *FRONTAL lobe |
| مستخلص: |
We describe a case of akinetic mutism mistaken as coma. A 77-year old lady presented with apparent unresponsiveness. In fact she responded when stimulated. She subsequently developed movements typical of clonic perseveration, erroneously treated as seizures. She also had features of a frontal lobe syndrome. Initial CT scan showed no abnormality; it was only after an MRI scan that a diagnosis of bilateral paramedian thalamic infarction was made. MRI scanning should be considered early in the investigation of patients with atypical neurological presentation. [ABSTRACT FROM AUTHOR] |
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