Akinetic mutism--not coma
Open Access
- 13 October 2008
- journal article
- case report
- Published by Oxford University Press (OUP) in Age and Ageing
- Vol. 38 (3), 350-351
- https://doi.org/10.1093/ageing/afp005
Abstract
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.This publication has 4 references indexed in Scilit:
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