title: Acute mutism: a useful lesson.
abstract: Broca's aphasia may manifest as mutism in some patients. Mutism may be misinterpreted as part of a depressive illness in patients with a psychiatric history. We report on a patient presenting with acute mutism who had a history of amphetamine and cannabis abuse and was later found to have sustained an infarct of the dorsolateral frontal cortex. Recognition of this mode of presentation will aid early diagnosis and treatment.
authors.affiliation: Department of Neurology, Sunderland Royal Hospital, Sunderland, UK. maguirem@doctors.org.uk
authors.forename: Melissa
authors.initials: M
authors.lastname: Maguire
authors.forename: Osheik
authors.initials: O
authors.lastname: Seidi
authors.forename: Mark
authors.initials: M
authors.lastname: Baker
authors.forename: Arun
authors.initials: A
authors.lastname: Gupta
authors.forename: Cyrus
authors.initials: C
authors.lastname: Muwanga
mesh_terms: D000208:Acute Disease; D000328:Adult; D001039:Aphasia, Broca / Q000175:diagnosis*; D001241:Aspirin / Q000008:administration & dosage; D002544:Cerebral Infarction / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D004636:Emergency Service, Hospital; D005500:Follow-Up Studies; D005625:Frontal Lobe / Q000473:pathology*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D009155:Mutism / Q000175:diagnosis*; D019821:Simvastatin / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D019821:Simvastatin; D001241:Aspirin