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10.1097/MD.0000000000009845

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C5944702!5944702 !29419694
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suck abstract from ncbi


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pmid29419694
      Medicine+(Baltimore) 2018 ; 97 (6 ): e9845
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  • Akinetic mutism following prefrontal injury by an electrical grinder a case report: A diffusion tensor tractography study #MMPMID29419694
  • Jang SH ; Kim SH ; Lee HD
  • Medicine (Baltimore) 2018[Feb]; 97 (6 ): e9845 PMID29419694 show ga
  • RATIONALE: A 72-year-old male had suffered from head trauma resulting from injury to his frontal area by an electrical grinder while working at his home. PATIENT CONCERNS: He lost consciousness for approximately 10 minutes and experienced continuous post-traumatic amnesia. DIAGNOSES: He was diagnosed as traumatic intracerebral hemorrhage in both frontal lobes, intraventricular hemorrhage, and subarachnoid hemorrhage, and underwent decompressive craniectomy and hematoma removal. INTERVENTIONS: The patient's Glasgow Coma Scale score was 5. At 2 months after onset, when starting rehabilitation, he showed no spontaneous movement or speech; he remained in a lying position all day with no spontaneous activity. OUTCOMES: On 2-month diffusion tensor tractography, decreased neural connectivity of the caudate nucleus to the medial prefrontal cortex (PFC, Broadmann area [BA]: 10 and 12) and orbitofrontal cortex (BA 11 and 13) was observed in both hemispheres. LESSONS: Akinetic mutism following prefrontal injury.
  • |*Akinetic Mutism/diagnosis/etiology/physiopathology/surgery [MESH]
  • |*Cerebral Hemorrhage, Traumatic/diagnosis/etiology/surgery [MESH]
  • |*Decompressive Craniectomy/adverse effects/methods [MESH]
  • |*Prefrontal Cortex/diagnostic imaging/injuries [MESH]
  • |Accidents, Home [MESH]
  • |Aged [MESH]
  • |Diffusion Tensor Imaging/methods [MESH]
  • |Electrical Equipment and Supplies [MESH]
  • |Glasgow Coma Scale [MESH]
  • |Humans [MESH]
  • |Male [MESH]


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