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Akinetic mutism following prefrontal injury by an electrical grinder a case report: A diffusion tensor tractography study
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 diagnose...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944702/ https://www.ncbi.nlm.nih.gov/pubmed/29419694 http://dx.doi.org/10.1097/MD.0000000000009845 |
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author | Jang, Sung Ho Kim, Seong Ho Lee, Han Do |
author_facet | Jang, Sung Ho Kim, Seong Ho Lee, Han Do |
author_sort | Jang, Sung Ho |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5944702 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-59447022018-05-17 Akinetic mutism following prefrontal injury by an electrical grinder a case report: A diffusion tensor tractography study Jang, Sung Ho Kim, Seong Ho Lee, Han Do Medicine (Baltimore) Research Article 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. Wolters Kluwer Health 2018-02-09 /pmc/articles/PMC5944702/ /pubmed/29419694 http://dx.doi.org/10.1097/MD.0000000000009845 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | Research Article Jang, Sung Ho Kim, Seong Ho Lee, Han Do Akinetic mutism following prefrontal injury by an electrical grinder a case report: A diffusion tensor tractography study |
title | Akinetic mutism following prefrontal injury by an electrical grinder a case report: A diffusion tensor tractography study |
title_full | Akinetic mutism following prefrontal injury by an electrical grinder a case report: A diffusion tensor tractography study |
title_fullStr | Akinetic mutism following prefrontal injury by an electrical grinder a case report: A diffusion tensor tractography study |
title_full_unstemmed | Akinetic mutism following prefrontal injury by an electrical grinder a case report: A diffusion tensor tractography study |
title_short | Akinetic mutism following prefrontal injury by an electrical grinder a case report: A diffusion tensor tractography study |
title_sort | akinetic mutism following prefrontal injury by an electrical grinder a case report: a diffusion tensor tractography study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944702/ https://www.ncbi.nlm.nih.gov/pubmed/29419694 http://dx.doi.org/10.1097/MD.0000000000009845 |
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