Mutism: Causes & Reasons

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Possible Causes for Mutism

Catatonia

All cases met DSM-5 criteria for catatonia (case 1: agitation, stereotypies, and grimacing; case 2: stupor, mutism, and grimacing; case 3: agitation, mutism, and stereotypies [ncbi.nlm.nih.gov]

CONCLUSION: The most common symptoms of catatonia in children and adolescent are mutism, immobility/stupor, staring, posturing, negativism and rigidity. [ncbi.nlm.nih.gov]

Especially lorazepam has been proven to alleviate psychomotor retardation and mutism [ 4 ]. [doi.org]

Brain Stem Infarction

Transient mutism after brain stem infarction has not been reported previously. [ncbi.nlm.nih.gov]

[…] after brain stem infarction. ( 10610613 ) ErA9ahin Y. 1999 20 Transient mutism after brain stem infarction. ( 10481795 ) ErA9ahin Y. 1999 21 Transient mutism resolving into [malacards.org]

[…] and conclude that bilateral damage to the dentatothalamocortical fibers at the decussation of the superior cerebellar peduncle may have been responsible for her transient mutism [ncbi.nlm.nih.gov]

Anterior Cerebral Artery Occlusion

Abstract Three cases of bilateral anterior cerebral artery occlusion are presented with akinetic mutism. [ncbi.nlm.nih.gov]

Akinetic mutism caused by nicotine withdrawal. [connection.ebscohost.com]

An unusual case concerning a patient with akinetic mutism (AM) due to spontaneous bilateral anterior cerebral artery occlusion is reported. [ncbi.nlm.nih.gov]

Schizophrenia

Your patient is extremely autistic and shows mutism, rock behavior, stereotyped movements, and inattention to bladder and bowel hygiene. 4. [schizophrenia.com]

Mutism (inability to talk), extreme compliance, and absence of almost all voluntary actions are also common. [britannica.com]

Hospitalized patients are more likely to present with acute and prominent psychomotor abnormalities (eg, mutism and stupor), often seen in patients with medical and neurological [doi.org]

Autism

Autistic disorder shares some symptoms with catatonia, namely, mutism, echopraxia/echolalia, and sterotypes. [ncbi.nlm.nih.gov]

Impairments in social functioning may result in physically aggressive behavior, inappropriate response to authority figures, social isolation, and even mutism. [disabilitysecrets.com]

J. ( 1995 ) 'Itard's Memoire on "Mutism Caused by a Lesion of the Intellectual Functions": A Historical Analysis', Journal of the American Academy of Child and Adolescent [doi.org]

Malignant Catatonia

Malignant catatonia is defined as a life-threatening febrile neuropsychiatric disorder, characterized by psychosis with autonomic instability, hyperactivity, mutism, and stuperous [ncbi.nlm.nih.gov]

The patient was stable, maintaining mutism, immobility and autonomic abnormalities. [ncbi.nlm.nih.gov]

He presented with hyperpyrexia, lethargy, akinetic mutism, and posture of decorticate rigidity following coma and respiratory failure. [ncbi.nlm.nih.gov]

Selective Mutism

What is the difference between Selective Mutism and traumatic mutism? [web.archive.org]

This syndrome differs from mutism because the child sometimes speaks, depending on the circumstances. Children with mutism never speak. [brighttots.com]

Selective mutism results in significant social and academic impairment in those affected by it. [dx.doi.org]

Anti-NMDA Receptor Encephalitis

We report a 62 year old patient who developed psychiatric disorders followed by epilepsy, movement disorders, mutism and hypoventilation. [ncbi.nlm.nih.gov]

A 31-year-old woman sub-acutely developed psychosis, behavioural changes, amnesia, alternating states of agitation and mutism, fever and epileptic seizures. [ncbi.nlm.nih.gov]

Extreme irritability, insomnia and mutism were noted in all the children. The symptoms were persistent, and the course was progressive over 4-8 wk duration. [ncbi.nlm.nih.gov]

Pick Disease of The Brain

[…] activities Inability to recognize behavioral changes Failure to show empathy Inappropriate mood Apathy regarding events or environment Language changes: Inability to speak (mutism [dementia.org]

[…] changes in behavior Failure to show emotional warmth, concern, empathy, sympathy Inappropriate mood Not caring about events or environment LANGUAGE CHANGES Cannot speak (mutism [medlineplus.gov]

Central Pontine Myelinolysis

[…] initial symptoms of myelinolysis, which begin to appear 2 to 3 days after hyponatremia is corrected, include a depressed level of awareness, difficulty speaking (dysarthria or mutism [ninds.nih.gov]

Different types of movement disorders have also been described in (EPM), including mutism, parkinsonism, catatonia, dystonia, and tremors [ 2 ]. [omicsonline.org]

[…] in the central pons that was first reported in necropsy cases of alcoholism and malnutrition. 1 CPM is characterised by disturbance of consciousness, quadriparesis, and mutism [doi.org]

Catatonic Schizophrenia

Four episodes of staring/mutism were recorded and averaged. Compared with normal activity, these episodes were characterized by increased cortical activation. [ncbi.nlm.nih.gov]

Second, the symptoms themselves, such as mutism and excitement, make verbal therapy extremely difficult. [ncbi.nlm.nih.gov]

Onset of illness appears to be among young adults and mutism, stupor, mannerisms, stereotypes and negativism were the common catatonic symptoms observed. [ncbi.nlm.nih.gov]

Abulia

Akinetic mutism is its extreme form. A lesser degree of abulia is here termed abulia minor. [ncbi.nlm.nih.gov]

There are reports of successful treatment of akinetic mutism, the most severe form of abulia, with bromocriptine. [ncbi.nlm.nih.gov]

Akinetic mutism is a medical term describing patients who tend neither to speak (mutism) nor move (akinesia). [cyborganthropology.com]

Encephalitis Lethargica

A five-year-old boy presented with an encephalitis lethargica-like illness, characterised by somnolence, mutism and Parkinsonian rigidity two weeks after an acute exanthem [ncbi.nlm.nih.gov]

Mutism occurred in ten patients. [doi.org]

[…] lethargy and extrapyramidal movements, von Economo noted that neuropsychiatric disorders were common in the survivors (e.g. catatonia, obsessive–compulsive disorder and mutism [doi.org]

Long QT Syndrome 3

Congenital deaf mutism, functional heart disease with prolongation of the QT interval, and sudden death. Am Heart J. 1957;54:59-68. 4. Romano C, Gemme G, Pongiglione R. [revistas.uis.edu.co]

"Congenital deaf-mutism, functional heart disease with prolongation of the Q-T interval and sudden death". [en.wikipedia.org]

Locked-in Syndrome

The accurate location and extent of brainstem lesions that cause akinetic mutism (a.m.) and/or locked-in syndrome (LiS) are reviewed. [ncbi.nlm.nih.gov]

The locked-in state is characterized by tetraplegia and mutism with maintenance of alertness as well as vertical eye movements and eye blinking, by which communication is [ncbi.nlm.nih.gov]

The difference between the locked-in syndrome and classical akinetic mutism was discussed. [ncbi.nlm.nih.gov]

Endemic Cretinism

The most salient neurological feature was deaf-mutism seen in 74%. [ncbi.nlm.nih.gov]

The 10 others were clinically euthyroid and had deaf-mutism and/or pyramidal tract dysfunction (neurological cretinism). [ncbi.nlm.nih.gov]

These included, to varying degrees: deaf-mutism or lesser degrees of bilateral hearing-loss or dysarthria; spasticity, particularly involving the proximal lower extremities [ncbi.nlm.nih.gov]

Anxiety Disorder

Abstract Selective mutism (SM) is classified in DSM-5 as an anxiety disorder. [ncbi.nlm.nih.gov]

Generalized Anxiety Disorder Panic Disorder Separation Anxiety Disorder Specific Phobias Selective Mutism Social Phobia Obsessive Compulsive Disorder Post Traumatic Stress [childanxiety.net]

Experts say that Emily's story is typical of children with selective mutism. [web.archive.org]

Long QT Syndrome 9

Congenital deaf mutism, functional heart disease with prolongation of the QT interval, and sudden death. Am Heart J. 1957;54:59-68. 4. Romano C, Gemme G, Pongiglione R. [revistas.uis.edu.co]

Richards-Rundle Syndrome

Richards BW, Rundle AT: A familial hormonal disorder associated with mental deficiency, deaf mutism and ataxia. J Ment Defic Res 3:33, 1959. [accessanesthesiology.mhmedical.com]

Richards BW, Rundle AT (1959) A familial hormonal disorder associated with mental deficiency, deaf mutism and ataxia. J Ment Defic Res 3:33–55 Google Scholar 4. [link.springer.com]

1 Spino-cerebellar degeneration, hormonal disorder, hypogonadism, deaf mutism and mental deficiency. 56 4671995 1972 2 Familial ataxia, deaf-mutism, and muscular wasting. [malacards.org]

Creutzfeldt Jakob Disease

[…] rapidly progressive dementia combined with other cardinal symptoms, such as myoclonus, visual or cerebellar disturbances, extrapyramidal or pyramidal disturbance, and akinetic mutism [ncbi.nlm.nih.gov]

Four months after the onset, she entered a state of an akinetic mutism. Gene analysis revealed a homozygous V203I mutation in the PRNP. [ncbi.nlm.nih.gov]

Meanwhile, his clinical condition progressively worsened and he developed a rapidly progressive cognitive disorder, mutism and myoclonus of the muscles. [ncbi.nlm.nih.gov]

Social Phobia

To examine the relationship between the syndromes of elective mutism and social phobia, a case of elective mutism associated with social phobia in a 12-year-old girl is presented [ncbi.nlm.nih.gov]

BACKGROUND: Selective mutism (SM) is an anxiety disorder with a close link to childhood social phobia (SP). [ncbi.nlm.nih.gov]

Also, the large majority of individuals with Selective Mutism have Social Anxiety Disorder and thus the DSM-IV diagnosis of Selective Mutism has now been changed to a Specifier [anxietytreatmentclinic.com]

Long QT Syndrome 15

Congenital deaf mutism, functional heart disease with prolongation of the QT interval, and sudden death. Am Heart J. 1957;54:59-68. 4. Romano C, Gemme G, Pongiglione R. [revistas.uis.edu.co]

Dialysis Dementia

Stuttering and intermittent mutism characterize the disorder and may be valuable in the differentiation of dialysis dementia from other neuropsychiatric syndromes. [ncbi.nlm.nih.gov]

[…] to control terminal renal failure, and accumulates in the brain Clinical DD is defined by 2 of following neurologic signs: stuttering, stammering, dysnomia, hypofluency, mutism [medical-dictionary.thefreedictionary.com]

Pendred Syndrome

All were euthyroid, with large goitres and deaf mutism and all had an unusual deposition of pigment in the retina. [ncbi.nlm.nih.gov]

After the cloning of the Pendred syndrome (PDS) gene in 1997, a century after the recognition of the curious association of goiter and deaf-mutism by Vaugham Pendred in 1896 [journals.lww.com]

Receptive Aphasia

[…] converts directly to: 2015/16 ICD-10-CM R47.01 Aphasia Approximate Synonyms Acquired aphasia w epilepsy Acquired aphasia with epilepsy Acquired epileptic aphasia Akinetic mutism [icd9data.com]

F84.- ) selective mutism ( ICD-10-CM Diagnosis Code F94.0 Selective mutism 2016 2017 2018 2019 Billable/Specific Code Applicable To Elective mutism Type 2 Excludes pervasive [icd10data.com]

ELECTIVE MUTISM Elective mutism is a condition in which children do not speak because they do not want to. [aafp.org]

Autosomal Recessive Deafness 103

الصفحة 50 - Jervell A, Lange-Nielsen F: Congenital deaf-mutism, functional heart disease with prolongation of the QT interval, and sudden death. ‏ [books.google.com]

Acute Amphetamine Intoxication

We report a case of 30-year-old woman, who developed immobility, rigidity, mutism and staring after the intake of four grams of amphetamine powder. [ncbi.nlm.nih.gov]

[…] restlessness, hyperactivity, hypertension, tachycardia and tachypnea” Chern & Tsai reported a case of perverse catatonia in a 30 year old woman “who developed immobility, rigidity, mutism [idmu.co.uk]

Long QT Syndrome 5

"Congenital deaf-mutism, functional heart disease with prolongation of the Q-T interval and sudden death". [en.wikipedia.org]

Congenital deaf-mutism, functional heart disease with prolongation of the Q-T interval and sudden death.Am Heart J. 1957; 54:59–68.CrossrefMedlineGoogle Scholar 5. [ahajournals.org]

Marchiafava-Bignami Disease

We report a case of a 54-year-old woman who presented to our emergency department with complete mutism caused by MB disease that completely resolved with intravenous thiamine [ncbi.nlm.nih.gov]

The observed dysarthria could be meaningfully discussed in relationship to postcallosotomy mutism. [ncbi.nlm.nih.gov]

A right-handed woman with chronic alcoholism demonstrated mutism, impaired comprehension of spoken language, alexia, and right-handed agraphia. [ncbi.nlm.nih.gov]

Vitamin B12 Deficiency

A 27-year-old gentleman presented with 6 months of progressive behavior changes characterized by wandering tendencies, persecutory delusions, apathy, mutism, irritability, [doi.org]