rdf:type |
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lifeskim:mentions |
|
pubmed:issue |
4
|
pubmed:dateCreated |
1987-4-17
|
pubmed:abstractText |
We describe a case of akinetic mutism associated with diffuse cerebral leukoencephalopathy, which developed in a bone marrow transplant recipient following total-body irradiation and amphotericin B chemoprophylaxis. A trial of high-dose bromocriptine did not stimulate purposeful verbal or motor activity. Fluorine 18-fluorodeoxyglucose/positron emission tomographic studies, performed before and during bromocriptine therapy, demonstrated cerebral hypometabolism and treatment-related decreases in regional cerebral blood volume. We conclude that whole-brain or total-body irradiation may increase blood-brain barrier permeability to polyene antibiotics, and that high-dose therapy with dopamine agonists is unlikely to benefit patients with akinetic mutism due to diffuse white-matter lesions.
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pubmed:grant |
|
pubmed:language |
eng
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pubmed:journal |
|
pubmed:citationSubset |
AIM
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pubmed:chemical |
|
pubmed:status |
MEDLINE
|
pubmed:month |
Apr
|
pubmed:issn |
0003-9942
|
pubmed:author |
|
pubmed:issnType |
Print
|
pubmed:volume |
44
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
414-7
|
pubmed:dateRevised |
2007-11-14
|
pubmed:meshHeading |
pubmed-meshheading:3548667-Adult,
pubmed-meshheading:3548667-Akinetic Mutism,
pubmed-meshheading:3548667-Amphotericin B,
pubmed-meshheading:3548667-Anemia, Aplastic,
pubmed-meshheading:3548667-Bone Marrow Transplantation,
pubmed-meshheading:3548667-Bromocriptine,
pubmed-meshheading:3548667-Cerebrovascular Circulation,
pubmed-meshheading:3548667-Deoxyglucose,
pubmed-meshheading:3548667-Fluorodeoxyglucose F18,
pubmed-meshheading:3548667-Glucose,
pubmed-meshheading:3548667-Humans,
pubmed-meshheading:3548667-Male,
pubmed-meshheading:3548667-Tomography, Emission-Computed,
pubmed-meshheading:3548667-Whole-Body Irradiation
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pubmed:year |
1987
|
pubmed:articleTitle |
Akinetic mutism in a bone marrow transplant recipient following total-body irradiation and amphotericin B chemoprophylaxis. A positron emission tomographic and neuropathologic study.
|
pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Case Reports
|