Document Detail


Bilateral symmetrical softening of the thalamus.
MedLine Citation:
PMID:  75253     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical and pathological data of a 48 year old patient who survived 40 days are reported. Her disturbance of consciousness corresponded to an apallic syndrome, which 12 days later bacame akinetic mutism. Symmetrical softening involving the medial thalamic nuclei from the plane of the corpora mamillaria to the red nuclei was found. The ischemic lesion might be explained by transient circulatory collapse combined with hypoplasia of the vertebrobasialr arteries. On the EEG slight irregular alpha activity was recorded (alpha coma) and external stimuli elicited theta-delta waves (paradox activation). A survey of the literature of akinetic mutism is included and the correlation between non-hypnoid unconsciousness and EEG is discussed.
Authors:
I Szirmai; A Guseo; M Molnár
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurology     Volume:  217     ISSN:  0340-5354     ISO Abbreviation:  J. Neurol.     Publication Date:  1977 Dec 
Date Detail:
Created Date:  1978-04-17     Completed Date:  1978-04-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0423161     Medline TA:  J Neurol     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  57-65     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Akinetic Mutism / diagnosis*,  etiology,  pathology
Brain / pathology
Cerebral Arteries / pathology
Coma / diagnosis*,  etiology,  pathology
Electroencephalography
Encephalomalacia / complications,  diagnosis*
Female
Humans
Middle Aged
Syndrome
Thalamus* / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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