Abstract
A 54-year-old man developed somnolent akinetic mutism and acute mixed transcortical
aphasia following a left thalamo–mesencephalic infarction. He also exhibited behavioural
changes, namely apathy, slowness, lack of spontaneity, disinhibition, perseveration,
gait apraxia and incontinence consistent with frontal lobe dysfunction. Presumably
the akinetic mutism and language dysfunction were due to the thalamic stroke. All
the manifestations could be related to interruption of the frontal-subcortical circuitry.
Keywords
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Article info
Publication history
Accepted:
December 14,
1998
Received in revised form:
November 3,
1998
Received:
May 26,
1998
Identification
Copyright
© 1999 Elsevier Science B.V. Published by Elsevier Inc. All rights reserved.
