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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Medicine+(Baltimore) 2018 ; 97 (6): ä Nephropedia Template TP
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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): ä PMID29419694show 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.