ISSN 2564-7784 | E-ISSN 2564-7040
Case Report
Akinetic mutism cases due to bilateral anterior cerebral artery infarct
1 Gaziantep Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı, Gaziantep, Türkiye  
2 Şehitkamil Devlet Hastanesi Nöroloji Kliniği, Gaziantep, Türkiye  
Gaziantep Med J 2017; 23: 83-86
DOI: 10.5152/EurJTher.2017.06071
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Key Words: Akinetic mutism, bilateral anterior cerebral artery territory infarct, epileptic seizure

Akinetic mutism is a clinical status from the bilateral lesion of nucleus caudatus or anterior cingulate gyrus. Although voluntary motions, speech, and emotional responses are completely gone, the patient may be awake with eyes opened. A 54-year-old man was brought to the emergency clinic with complaints of meaningless stares and inability to speak and walk. On neurological examination, the patient was unresponsive, although he looked awake. The tonus was increased on all extremities, especially on the left arm and leg. On his follow-up, involuntary tiny motions around his mouth were observed. Bilateral anterior cerebral artery infarct was observed on diffusion-weighted magnetic resonance imaging. This case, which may be distinguished from psychiatric charts in clinical practice, is considered to be presented as akinetic mutism due to a rare bilateral ACA infarct.


How to cite: Çomruk G, Demir F, Akçalı A. Akinetic mutism cases due to bilateral anterior cerebral artery infarct. Eur J Ther 2017; 23(2): 83-6.

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AVES | Copyright © 2017 European Journal of Therapeutics | Latest Update: 04.01.2018