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Anita Chittaranjan Shetty, John Morris, Paul O’Mahony, Akinetic mutism—not coma, Age and Ageing, Volume 38, Issue 3, May 2009, Pages 350–351, https://doi.org/10.1093/ageing/afp005
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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.
© Oxford University Press 2009
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Case Report
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