Akinetic Mutism and Cognitive-Affective Syndrome Caused by Unilateral PICA Infarction |
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| Authors: | YoungSoon Yang Jung Eun Kim Jung Seok Lee and SangYun Kim |
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| Institution: | Department of Neurology, Seoul National University College of Medicine, Seoul, and Seoul National University Bundang Hospital, Gyeonggi-do, Korea.;aDepartment of neurology, Konyang University Hospital, Daejeon, Korea.;bDepartment of neurology, Cheju National University College of Medicine, Jeju, Korea. |
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| Abstract: | A 42-year-old man with left posterior inferior cerebellar artery (PICA) infarction presented with akinetic mutism and cognitive impairment. Initially he suffered from akinetic mutism and MRI-documented infarction in the distribution of the left PICA. Twelve days later he developed cognitive impairment. Neuropsychological tests were performed, with the results corrected for age and education being compared with published Korean norms. Impaired performances were evident on executive function testing, with difficulties in planning, abstract reasoning, set-shifting, and perseveration. Akinetic mutism and cognitive-affective syndrome may be a manifestation of unilateral PICA infarction. |
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| Keywords: | Akinetic mutism PICA Cognitive-affective syndrome |
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