Mutismo Acinético: revisión, propuesta de un protocolo neuropsicológico para el diagnóstico diferencial y su aplicación a un caso

Autor: Marisa Arnedo-Montoro, Rocío Ruiz-Pérez, María Rodríguez-Bailón, Mónica Triviño-Mosquera
Rok vydání: 2012
Předmět:
Zdroj: Anales de Psicología. 28
ISSN: 1695-2294
0212-9728
Popis: Title: Akinetic Mutism: a review, proposal of neuropsychological protocol to establish a differential diagnosis and its application to a case. Abstract: Akinetic mutism is considered as a disturbance of a persons motivational state, therefore the patient is unable to initiate verbal or mo- tor responses, although they continue to maintain sensorimotor and vigi- lant functions. The lesion can be vascular or it can be caused by infections, cerebral degeneration and toxicity. Lesions can influence the functions of two cerebral circuits: the Frontal medial cortex affecting to cingulated cor- tex, or it can damage the thalamic and mesencephalic regions related to the ascending reticular activating system. It is difficult to diagnose Akinetic Mutism since it can be confused with some types of aphasia and altered states of consciousness, which require different interventions. In order to complete a clinical protocol we rec- ommend a brief neuropsychological evaluation of functions such as atten- tion, praxis and language, all of which could be affected by the syndromes previously named. We expound a case of akinetic mutism evaluated with this protocol in order to show its specificity distinguishing akinetic mustism from other syndromes.
Databáze: OpenAIRE