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BIPLEDs in akinetic mutism caused by bilateral anterior cerebral artery infarction

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Abstract

Introduction: Akinetic mutism is described as a result of many disorders. Bilateral infarction of the anterior cerebral artery (ACA) territory is reported rarely, however, often leading to akinetic mutism. Case report: We report a 70 year-old man with akinetic mutism due to bilateral ACA infarction. Electroencephalography, 24 h after admission, showed bilateral independent periodic lateralized epileptiform discharges (BIPLEDs) in the frontal region and diffuse theta and polymorphic delta activity. Discussion: Postanoxic encephalopathy, central nervous system infection and chronic seizure disorders are the major causes of BIPLEDs. However, BIPLEDs may occur in bilateral ACA territory infarction.

Original languageEnglish
Pages (from-to)1726-1728
Number of pages3
JournalClinical neurophysiology
Volume112
Issue number9
DOIs
Publication statusPublished - 2001
Externally publishedYes

Keywords

  • Akinetic mutism
  • Anterior cerebral artery
  • Bilateral independent periodic lateralized epileptiform discharges
  • Brain infarct
  • Electroencephalography
  • Periodic lateralized epileptiform discharges
  • n/a OA procedure

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