Unique Presentation of Akinetic Mutism and Coexisting Thyroid Storm Relating to Stroke
Joint Authors
Jayam-Trouth, Annapurni
Kurukumbi, Mohankumar
Dang, Thao
Crossley, Najeeb
Esame, Alice
Source
Case Reports in Neurological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-10-28
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Akinetic mutism is described in various clinical presentations but typically is defined as a state wherein the patient appears awake but does not move or speak.
It can be divided into two different subtypes; the most common subtypes depend on the lesion location, mesencephalic-diencephalic region, also called apathetic akinetic mutism (somnolent mutism), and those involving the anterior cingulate gyrus and adjacent frontal lobes called hyperpathic akinetic mutism.
The pathway of akinetic mutism is believed to originate from circuits that link the frontal and subcortical structures.
This case reports a 48-year-old African American female with bilateral anterior cerebral artery stroke and akinetic mutism with coexisting thyroid storm.
This patient with bilateral anterior cerebral artery infarcts presented with characteristics that are typical for akinetic mutism such as having intact eye movements but an inability to respond to auditory or visual commands.
With the incidence of bilateral anterior cerebral artery (ACA) ischemic stroke being rare and the incidence of akinetic mutism secondary to ischemic stroke even rarer, we suspect that this patient potentially had a unilateral occlusion of anomalous anterior cerebral vasculature.
American Psychological Association (APA)
Kurukumbi, Mohankumar& Dang, Thao& Crossley, Najeeb& Esame, Alice& Jayam-Trouth, Annapurni. 2014. Unique Presentation of Akinetic Mutism and Coexisting Thyroid Storm Relating to Stroke. Case Reports in Neurological Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034819
Modern Language Association (MLA)
Kurukumbi, Mohankumar…[et al.]. Unique Presentation of Akinetic Mutism and Coexisting Thyroid Storm Relating to Stroke. Case Reports in Neurological Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1034819
American Medical Association (AMA)
Kurukumbi, Mohankumar& Dang, Thao& Crossley, Najeeb& Esame, Alice& Jayam-Trouth, Annapurni. Unique Presentation of Akinetic Mutism and Coexisting Thyroid Storm Relating to Stroke. Case Reports in Neurological Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1034819
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034819