Presentation
We present a case of abulia S/P right middle cerebral artery, treated successfully with olanzapine. [ncbi.nlm.nih.gov]
While the patients can have variable presentations including headache, nausea, confusion, seizures, weakness, coma; mood disorders as a part of the presentation has not been reported. [n.neurology.org]
BACKGROUND: While the majority of sports-related concussions present as headache, nausea, dizziness, confusion, and unsteadiness, there are other less common presenting symptoms such as mood disorders and irritability. [neurology.org]
Entire Body System
- Crying
Abulia can also be hereditary, which can be seen in infancy, it usually manifests as being calm most of the time, they don’t cry or misbehave, and not playful. [yourbrain.health]
Caregivers often mistakenly describe DDM as a depressive state, even though a lack of sadness, desperation, crying, and a depressive mood distinguish DDM from depression. [mdedge.com]
- Camping
Artists have done their work lying on their sickbeds, in concentration camps, during ravaging illnesses, while raising young children, while struggling under crippling economic hardship. [painterskeys.com]
Psychiatrical
- Delusion
Notably, some patients reported adverse effects, including delusions and irritability.54 Although available evidence suggests AChEIs may be the most effective medications for treating apathy in NCDs, methylphenidate has been demonstrated to work faster [mdedge.com]
[…] capacities such as praxis, speech, sense modalities, recognition, and long-term memory. 7 Noncognitive symptoms are common: 73% of patients in a Japanese study reported significant apathy, and 10% to 25% of patients also reported positive symptoms of delusions [neuro.psychiatryonline.org]
Symptoms of apathy such as restricted affect, low social drive and poverty of speech may be caused by multiple factors, such as neuroleptic drugs, the psychotic experience itself (eg, being unable to work because of auditory hallucinations or paranoid delusions [doi.org]
- Social Isolation
They may exhibit social isolation and take long pauses when speaking. They have trouble maintaining normal levels of hygiene and may face nutritional deficits in the long run because of the lack of will to do as much as eat. [yourbrain.health]
- Low Self-Esteem
In general, the apathy, low self-esteem and emotional inhibition act as obstacles to improvement. 1. Celebrate small accomplishments For people with abulia, anything, no matter how small it may seem, is a difficult task. [steptohealth.com]
- Withdrawn
One patient with a previous history developed a depressive relapse and so the drug was withdrawn and lisuride introduced. This produced a similar improvement. [ncbi.nlm.nih.gov]
- Psychiatric Symptoms
Venesection alone produced marked improvement in her neurological and psychiatric symptoms. [ncbi.nlm.nih.gov]
Neurologic
- Encephalopathy
This change is atypical in Cys A-induced encephalopathy and was thought to predict poor recovery from the encephalopathy. [ncbi.nlm.nih.gov]
Closed head injury Parkinson’s disease; sometimes as a forerunner of a frontal lobe dementia Other causes of frontal lobe disease: tumor, abscess Metabolic, electrolyte disorders: hypoxia, hypoglycemia, hepatic encephalopathy Treatment is of the underlying [minclinic.ru]
"Posterior Encephalopathy Subsequent to Cyclosporin A Presenting as Irreversible Abulia." Internal Medicine 42, no. 8 (1 August 2003): 750–755. Pantoni, L. "Abulia and Cognitive Impairment in Two Patients with Capsular Genu Infarct." [encyclopedia.com]
- Agitation
At the beginning of the study the focus was on abulia, but it was natural that sooner or later the contrasting state of behavioral hyperactivity or agitation would have to come under equal scrutiny. [ncbi.nlm.nih.gov]
The only literature describing a similar post-tap agitation is C. [neuro.psychiatryonline.org]
Richmond Agitation-Sedation Scale 6 score is 0 (alert and calm) and test of sustained attention (‘Vigilant A’) is intact (ie, based on the Confusion Assessment Method for the Intensive Care Unit [CAM-ICU], 7 Ms. E does not have delirium). [mdedge.com]
- Chorea
Benedikt syndrome ventral tegmentum, PCA Parinaud's syndrome dorsal, tumor Nothnagel's syndrome Claude's syndrome Other Alternating hemiplegia Cerebellum lateral ( Dysmetria Dysdiadochokinesia Intention tremor ) medial ( Cerebellar ataxia ) Basal ganglia Chorea [en.wikipedia.org]
- Asthenia
Abulia is often confused with other similar terms such as anhedonia or asthenia. While it’s true that they all revolve around depression and sometimes manifest together, they each have their own unique properties. [exploringyourmind.com]
Treatment
There are reports of successful treatment of akinetic mutism, the most severe form of abulia, with bromocriptine. [ncbi.nlm.nih.gov]
Treatment team Treatment of abulia is usually part of a program of general rehabilitation for the symptoms accompanying the underlying condition. A neurologist or psychiatrist may lead a treatment team. [encyclopedia.com]
Treatment Most of the current treatments for abulia are pharmacological, including the use of antidepressants. Commentary Open Access However, treatment with antidepressants has not always been successful, opening the door to alternative treatments. [globalscienceresearchjournals.org]
Prognosis
Prognosis The prognosis of abulia depends on the prognosis of the underlying condition. Resources BOOKS Friedman, Joseph H. "Mood, Emotion, and Thought." In Textbook of Clinical Neurology, edited by Christopher G. Goetz. Philadelphia: W. B. [encyclopedia.com]
Prognosis The prognosis depends on the underlying condition causing abulia. [ncbi.nlm.nih.gov]
Google Scholar Giroud M, Lemesle M, Madinier G, Billiar T, Dumas R: Unilateral lenticular infarcts: radiological and clinical syndromes, aetiology and prognosis. JNNP. 1997, 63: 611-615. [bmcneurol.biomedcentral.com]
Etiology
It can have several different etiologies, many of which require further evaluation and treatment. [ncbi.nlm.nih.gov]
Catatonia in NPH may be underreported for several reasons: the biomechanical etiology of NPH suggests a mechanical treatment, the removal of CSF, rather than medicinal or electroconvulsive therapies as for catatonia; and practitioners in neurological [neuro.psychiatryonline.org]
Epidemiology
[…] infarct, and ruptured anterior communicating artery aneurysms Closed head injury Parkinson disease Other causes of frontal lobe disease: tumor, abscess, frontal lobotomy Metabolic and electrolyte disorders: hypoxia, hypoglycemia, hepatic encephalopathy Epidemiology [ncbi.nlm.nih.gov]
However, it is not seen as an independent disease and is not placed in the DSM, therefore the epidemiology is unknown. [yourbrain.health]
Other relevant issues, such as epidemiology, demographic and clinical correlates, and putative mechanism of apathy in specific neuropsychiatric conditions, will not be directly addressed. [doi.org]
Pathophysiology
The pathophysiology of impaired cerebral blood flow causing neuropsychiatric symptoms in polycythaemia is discussed. [ncbi.nlm.nih.gov]
Each entry includes: a definition of the sign; a brief account of the clinical technique required to elicit the sign; a description of the other signs which may accompany the index sign; an explanation of pathophysiological and/or pharmacological background [books.google.de]
Although not fully elucidated, the pathophysiology of abulia, apathy, and akinetic mutism is thought to be related to multiple neurotransmitters--especially dopamine--involved in the cortico-striatalpallidal-thalamic network. [freethesaurus.com]
Prevention
[…] manifestations of stroke * A guide to highly studied topics, including stroke complications, syndromes, and stroke related psychiatric disorders * A better understanding of the pathophysiological basis of strokes that will help practitioners better diagnose, prevent [books.google.ro]
Prevention of Abulia Abulia does not have a preference. It can happen to anyone, of any race, gender or age without a warning. It can be prevented in children and adolescents by allowing them to pick up interest in a hobby, specifically music! [yourbrain.health]
Get to Know about Mesothelioma-treatment-symptoms-causes-prevention . [healthybugz.com]
To date, there is no way to prevent abulia, and the disorder can affect any individual irrespective of age, race, gender, or ethnicity. Neuroscience and rehabilitation nurses work with occupational therapists and physicians to treat these patients. [ncbi.nlm.nih.gov]