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Akinetic mutism with right hemiplegia caused by infarction in the territory of the left anterior cerebral artery

, : Akinetic mutism with right hemiplegia caused by infarction in the territory of the left anterior cerebral artery. Revue Neurologique 152(3): 181-189

A 65 years old woman with chronic high blood pressure and diabetes mellitus presented with a mutism akinetic of sudden onset and a right total hemiplegia with a Babinski sign secondary to a left anterior cerebral artery infarction. She had had six months earlier a transient gait disturbance. At that time, the CT scan showed lacunar infarcts of the head of both caudate nuclei. Neuropathological examination revealed that the left infarction of the anterior cerebral artery involved the superior frontal gyrus, the supplementary motor area, the cingulate gyrus and the corpus callosum. There were also multiple lacunes of the head of both caudate nuclei, anterior limb of the internal capsules, white matter, basal ganglia and thalami. The mutism akinetic was thought to be the result of a bilateral disruption of a functional loop including on each side, the supplementary motor area, the cingulate gyrus, the subcallosal tract and the head of the caudate nucleus. On the right side, the lesion of the caudate nucleus could have interrupted this loop normally involved in the induction of voluntary movements and in the communication with the external surroundings.


PMID: 8761628

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Bejdák, P.; Lengerová, M.; Paloušová, D.; Volfová, Pína.; Kocmanová, I.; Mayer, Jří.; Ráčil, Zěk., 2013: Detection and identification of filamentous fungi causing mycoses using molecular genetic methods. Methods of molecular genetics offer rapid and sensitive detection and identification of fungal pathogens. The currently used methods are based mainly on PCR. With regard to the ubiquitous presence of fungi, it is important to prevent contamination...

Anonymous, 1989: IUPS satellite symposium. International Union of Physiological Sciences. Autonomic regulation of orofacial function. Kuopio, Finland, July 5-7, 1989. Abstracts. Proceedings of the Finnish Dental Society. Suomen Hammaslaakariseuran Toimituksia 85 Suppl 1: 1-44

Trebino, R.; Rahn, L.A., 1990: Calculation of higher-order wave-mixing spectra. Using diagrammatic perturbation theory, we calculate the higher-order susceptibility for the n-wave process, omega(0) = (n/2 - 1)(omega(1) - omega(2)) + omega(1), in a phase-matched n-wave-mixing geometry. We include the 16 Zeeman and hyperfine le...

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