de Mol J, Deleval J
Acta Neurol Belg. 1979 Sep-Oct;79(5):369-83.
After a review of current concepts about post-traumatic mutism, the authors describe five patients with this unusual symptom. The study extends on a long follow-up period. Differential diagnosis and possible neurological and psychopathological factors are discussed. Analysis of their personal observations leads the authors to think that there is a relationship between the length of coma and the duration of mutism. Frontal and/or bilateral lesions seem to be more likely to produce post-traumatic mutism, as does the existence of emotional disturbances or depressive symptoms in past history.
在回顾了关于创伤后缄默症的当前概念后，作者描述了五例有这种不寻常症状的患者。该研究进行了长期随访。文中讨论了鉴别诊断以及可能的神经学和精神病理学因素。对他们个人观察结果的分析使作者认为昏迷时间与缄默持续时间之间存在关联。额叶和/或双侧病变似乎更有可能导致创伤后缄默症，既往存在情绪障碍或抑郁症状的情况也是如此。
