Akinetic mutism following prefrontal injury by an electrical grinder a case report : A diffusion tensor tractography study

다국어 초록 (Multilingual Abstract)

<P><B>Abstract</B></P><P><B>Rationale:</B></P><P>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.</P><P><B>Patient concerns:</B></P><P>He lost consciousness for approximately 10 minutes and experienced continuous post-traumatic amnesia.</P><P><B>Diagnoses:</B></P><P>He was diagnosed as traumatic intracerebral hemorrhage in both frontal lobes, intraventricular hemorrhage, and subarachnoid hemorrhage, and underwent decompressive craniectomy and hematoma removal.</P><P><B>Interventions:</B></P><P>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.</P><P><B>Outcomes:</B></P><P>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.</P><P><B>Lessons:</B></P><P>Akinetic mutism following prefrontal injury.</P>