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  • Title: Akinetic mutism--not coma.
    Author: Shetty AC, Morris J, O'Mahony P.
    Journal: Age Ageing; 2009 May; 38(3):350-1. PubMed ID: 19297375.
    Abstract:
    We describe a case of akinetic mutism mistaken as coma. A 77-year old lady presented with apparent unresponsiveness. In fact she responded when stimulated. She subsequently developed movements typical of clonic perseveration, erroneously treated as seizures. She also had features of a frontal lobe syndrome. Initial CT scan showed no abnormality; it was only after an MRI scan that a diagnosis of bilateral paramedian thalamic infarction was made. MRI scanning should be considered early in the investigation of patients with atypical neurological presentation.
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