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 TratamentoAssuntos
Dissecação da Artéria Carótida Interna/complicações , Dissecação da Artéria Carótida Interna/diagnóstico , Face/inervação , Nervo Facial/irrigação sanguínea , Nervo Hipoglosso/irrigação sanguínea , Angiografia por Ressonância Magnética , Adolescente , Dissecação da Artéria Carótida Interna/patologia , Diagnóstico Diferencial , Paralisia Facial/diagnóstico , Paralisia Facial/etiologia , Feminino , Humanos , Doenças do Nervo Hipoglosso/diagnóstico , Doenças do Nervo Hipoglosso/etiologiaRESUMO
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.