A Case of Akinetic Mutism Caused by Volume Change of Cerebral Ventricles

J Korean Neurol Assoc > Volume 20(4); 2002 > Article

Journal of the Korean Neurological Association 2002;20(4): 414-417.

뇌실의 용적 변화에 의해 발생한 무동무언증 1예

이경수, 권오영 이리나 박기종 최낙천 임병훈

경상대학교병원 신경과학교실,경상대학교 건강과학연구원

A Case of Akinetic Mutism Caused by Volume Change of Cerebral Ventricles

Kyoung-Soo Lee

"Department of Neurology, Gyeongsang National University College of Medicine Gyeongsang Institute of Health Science, Gyeongsang National University"

Abstract

"Akinetic mutism is a syndrome caused by various etiologies, and characterized by silent immobility and preserved alertness. The repetitive ventriculoperitoneal shunt for the recurrent hydrocephalus can be a forerunner of that. We pre-sent a man with akinetic mutism following two times of ventriculoperitoneal shunt revision. Akinetic mutism of the patient may be caused by the damage on the ascending dopaminergic projections. Symptoms were not alleviated by the normalization of ventricular size but by a large dose of bromocriptine. Key Words : Akinetic mutism, Ventriculoperitoneal shunt revision, Bromocriptine"