Document Detail

Spontaneous bilateral anterior cerebral artery occlusion resulting in akinetic mutism. A case report.
MedLine Citation:
PMID:  2801259     Owner:  NLM     Status:  MEDLINE    
An unusual case concerning a patient with akinetic mutism (AM) due to spontaneous bilateral anterior cerebral artery occlusion is reported. Brain CT scan revealed the presence of mild low density foci presenting an irregular enhancement, which followed the distribution of mesial frontal gyri and paracentral lobulus, bilaterally. Right and left carotid angiographies showed bilateral occlusion of the anterior cerebral artery. Our case is characterized by an exclusive localization of the infarction in the frontal cortex. This finding suggests that a limited damage involving the anterior cerebral arteries territory could be, on its own, responsible for the AM syndrome.
M A Gugliotta; R Silvestri; P De Domenico; S Galatioto; R Di Perri
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta neurologica     Volume:  11     ISSN:  0001-6276     ISO Abbreviation:  Acta Neurol (Napoli)     Publication Date:  1989 Aug 
Date Detail:
Created Date:  1989-11-14     Completed Date:  1989-11-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421100     Medline TA:  Acta Neurol (Napoli)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  252-8     Citation Subset:  IM    
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MeSH Terms
Akinetic Mutism / etiology*,  physiopathology
Arterial Occlusive Diseases / complications*,  physiopathology,  radiography
Cerebral Arterial Diseases / complications*,  physiopathology,  radiography

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