Neurology: Case of the Month

Test Yourself — Patient 76

Akinetic Mutism

1. Which of the following findings are NOT commonly seen in association with disorders of the frontal lobe?
   • [ A ] Apathy
   • [ B ] Behavioral disturbances
   • [ C ] Emotional lability
   • [ D ] Wernicke's aphasia
2. Which of the following is a potential cause of akinetic mutism?
   • [ A ] Anterior communicating artery aneurysm
   • [ B ] Third ventricle cyst
   • [ C ] Brain trauma
   • [ D ] All of the above could cause akinetic mutism
3. Which of the following neurotransmitters is most likely to be involved in the pathogenesis of akinetic mutism?
   • [ A ] GABA
   • [ B ] Glutamate
   • [ C ] Serotonin
   • [ D ] Dopamine
4. Which of the following are commonly employed treatments for vasospasm after a subarachnoid hemorrhage?
   • [ A ] Triple-H therapy (hypervolemia, hypertension, and hemodilution)
   • [ B ] Verapamil
   • [ C ] Hypothermia
   • [ D ] Erythropoietin
5. Clinical presentations of subarachnoid hemorrhage invariably include WHICH of the following:
   • [ A ] Fever
   • [ B ] Meningismus
   • [ C ] Headache
   • [ D ] None of the above are required to suspect the diagnosis

 

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