Szirmai I, Guseo A, Molnár M
J Neurol. 1977 Dec 1;217(1):57-65. doi: 10.1007/BF00316317.
The clinical and pathological data of a 48 year old patient who survived 40 days are reported. Her disturbance of consciousness corresponded to an apallic syndrome, which 12 days later bacame akinetic mutism. Symmetrical softening involving the medial thalamic nuclei from the plane of the corpora mamillaria to the red nuclei was found. The ischemic lesion might be explained by transient circulatory collapse combined with hypoplasia of the vertebrobasialr arteries. On the EEG slight irregular alpha activity was recorded (alpha coma) and external stimuli elicited theta-delta waves (paradox activation). A survey of the literature of akinetic mutism is included and the correlation between non-hypnoid unconsciousness and EEG is discussed.
报告了一名存活40天的48岁患者的临床和病理数据。她的意识障碍符合去大脑皮质综合征，12天后发展为运动不能性缄默症。发现从乳头体平面到红核的内侧丘脑核出现对称性软化。缺血性病变可能是由短暂性循环衰竭合并椎基底动脉发育不全所致。脑电图记录到轻微不规则的α活动（α昏迷），外部刺激诱发θ-δ波（反常激活）。文中还包括了对运动不能性缄默症文献的综述，并讨论了非类催眠性无意识与脑电图之间的相关性。
