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1.
BMJ Case Rep ; 20152015 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-26135487

RESUMO

The word 'abulia' means a lack of will, initiative or drive. The symptoms of abulia include lack of spontaneous action and speech, reduced emotional responsiveness and social interaction, poor attention and easy distractibility. These symptoms are independent of reduced levels of consciousness or cognitive impairment. We describe a case of a socially active 72-year-old female patient who presented with symptoms of abulia which may have occurred due to damage of the frontosubcortical circuits following an episode of cardiac arrest. The patient's symptoms improved dramatically following treatment with bromocriptine.


Assuntos
Lesões Encefálicas/psicologia , Parada Cardíaca/psicologia , Transtornos Mentais/etiologia , Motivação , Idoso , Bromocriptina/uso terapêutico , Diagnóstico Diferencial , Agonistas de Dopamina/uso terapêutico , Feminino , Humanos , Transtornos Mentais/diagnóstico , Resultado do Tratamento
3.
BMJ Case Rep ; 20132013 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-23355555

RESUMO

Rathke's cleft cyst is a benign growth found on the pituitary gland in the brain, specifically a fluid-filled cyst in the posterior portion of the anterior pituitary gland. It occurs when the Rathke's pouch does not develop properly, and ranges in size from 2 to 40 mm in diameter. Asymptomatic cysts are common, detected during autopsies of 2-26% of individuals who have died of unrelated causes. Symptomatic cysts are rare and only approximately 150 cases have been reported. Females are twice as likely as males to have a cyst. Symptomatic cysts can trigger visual disturbances, pituitary dysfunction and headaches. Here we present a case of a 40-year-old female patient who presented with complains of visual disturbances, headache and amenorrhoea. On investigations, MRI of brain revealed findings suggestive of Rathke's cleft cyst.


Assuntos
Cistos do Sistema Nervoso Central/complicações , Cistos do Sistema Nervoso Central/diagnóstico , Neoplasias Hipofisárias/complicações , Neoplasias Hipofisárias/diagnóstico , Adenoma/diagnóstico , Adulto , Amenorreia/etiologia , Cistos Aracnóideos/diagnóstico , Cistos do Sistema Nervoso Central/tratamento farmacológico , Craniofaringioma/diagnóstico , Diagnóstico Diferencial , Feminino , Cefaleia/etiologia , Humanos , Imageamento por Ressonância Magnética , Neoplasias Hipofisárias/tratamento farmacológico , Transtornos da Visão/etiologia
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