There was an
akinetic apical cavity measuring 2x2 cm containing an apical thrombus (Fig 3.
The findings which were different from the findings of the previous studies in PD with proven RBD are as follows: there was no significant difference in terms of predominant tremor or
akinetic rigid syndrome.
There were also regional wall motion abnormalities which included hypokinetic to
akinetic basal myocardial segments,
akinetic apex, and hyperdynamic midventricular segments which can be visualized in Figures 2-4.
One study reported a potential correlation between hyperintense lesions in the occipital cortex on DWI and shorter time between symptom onset and
akinetic mutism [38].
CJD can present with rapid cognitive decline, gait disturbance, and visual and behavioural disturbances and can progress to myoclonus and
akinetic mutism [8, 10, 11, 13, 14].
Most patients decline rapidly to a state of
akinetic mutism.
She was hospitalized at the beginning of the third month of her illness and had onset of cortical blindness, myoclonus, and
akinetic mutism.
Akinetic mutism is a clinical status from the bilateral lesion of nucleus caudatus or anterior cingulate gyrus.
The right and left ventricular functions were markedly depressed, with
akinetic left ventricular inferior wall.
Seizures could develop in subjects without known epilepsy secondary to drug toxicity, and their detection during sustained physical confrontations, especially if
akinetic, might be quite difficult [54, 55].
Besides recording demographic data (age, sex, and level of education), disease-specific data were noted (age at onset; disease duration; the presence of motor complications; duration of fluctuation in years; type of PD, being either tremor dominant,
akinetic rigid, or mixed type; and antiparkinsonian medication).