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2018 ; 97
(6
): e9845
Nephropedia Template TP
gab.com Text
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English Wikipedia
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.