Journal ArticleDOI
Cerebral vascular disease and behavior. I. The syndrome of the mesencephalic artery (basilar artery bifurcation).
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There are two different conditions to which the term akinetic mutism or vigilant coma are properly applied, in which the patient lies in bed, immobile yet seemingly alert, ready to be aroused, and to follow with his gaze whatever events happen in the visual fields.Abstract:
THERE are two different conditions to which the term akinetic mutism or vigilant coma are properly applied. In one form of akinetic mutism the patient lies in bed, immobile yet seemingly alert, ready to be aroused, and to follow with his gaze whatever events happen in the visual fields; there is no evidence of oculomotor paralysis. This state of inertia can be interrupted in such patients by brief bouts of excitement, restlessness, and motor agitation. If stimulated enough, they may react with a word or two. This is a state best described as "hyperpathic" akinetic mutism or, if the term "coma" is to be used, this is a state of "vigilant" coma. In the other form, the patient is apathetic and somnolent most of the time. When he opens his eyes, he may keep them open if stimulation is sustained by calling the patient by name, pinching him, etc,read more
Citations
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Journal ArticleDOI
Neuroradiological and clinical features in ophthalmoplegia
TL;DR: The knowledge of the relationship between neurological findings in ophthalmoplegia and involved neuroanatomical structures is crucial, and neuroradiology can be focused on circumscribed anatomical regions, using optimized investigation protocols.
Journal ArticleDOI
Meso-diencephalic infarction: a not so rare form of stroke.
Camilo R. Gomez,R F Saul,John B. Selhorst,P A Hogan,Sandra M. Gomez,R F Cruz-Rodriquez,A P Jumao-as +6 more
TL;DR: Overall prognosis appeared relatively good since 80% of the patients recovered completely or incompletely from the ictus and 80% had lesions in the territory of the basilar-communicating artery.
Book ChapterDOI
Chapter 10 – Vertebrobasilar Disease
Jay P. Mohr,Louis R. Caplan +1 more
TL;DR: Clinicians of the 19th century described in detail the clinical and pathologic findings in patients with softening or hemorrhage limited to portions of the brainstem, defining the anatomy and function of the various brainstem nuclei and tracts.
Journal ArticleDOI
Neuro-ophthalmologic Manifestations of Thalamic Stroke
TL;DR: In a patient with a deficit of ocular movement that goes beyond any anatomically specific pattern one must always bear in mind the role of thalamic nuclei in ocular motor function, which can be a result of both tuberothalamic and paramedian artery infarction.
References
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Book
The Diagnosis of Stupor and Coma
Fred Plum,Jerome B. Posner +1 more
TL;DR: The third edition retains its approach to that art of diagnosis based on the understanding of pathophysiology and pathobiochemistry, but the authors have included new references and illustrations.
Journal ArticleDOI
Akinetic mutism with an epidermoid cyst of the 3rd ventricle
Journal ArticleDOI
[Bilateral anterior cingulate gyrus lesions; syndrome of the anterior cingulate gyri].
TL;DR: The present study emphasizes the similarities of the case recently reported by Nielsen and Jacobs’ in which there was found at necropsy a destructive lesion involving the anterior cingulate gyri and the underlying corpus callosum.
Book
The Brain Vascular System
TL;DR: The authors find that the distribution of the arteries in the newborn is comparable to the adult, the most common change being the relative dependence on the mesencephalic artery by the posterior cerebral artery as a major source of blood for the posterior portion of the cerebral hemisphere.