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akinetic mutism
Akinetic mutism is a medical term describing patients tending neither to move (akinesia) nor speak (mutism). Akinetic mutism was first described in 1941 by Cairns et al. as a mental state where patients lack the ability to move or speak.〔 However, their eyes may follow their observer or be diverted by sound. Patients lack most motor functions such as speech, facial expressions, and gestures, but demonstrate apparent alertness. They exhibit reduced activity and slowness, and can speak in whispered monosyllables.〔〔 Patients often show visual fixation on their examiner, move their eyes in response to an auditory stimulus, or move after often repeated commands.〔〔 Patients with akinetic mutism are not paralyzed, but lack the will to move.〔 Many patients describe that as soon as they ‘will’ or attempt a movement, a ‘counter-will’ or ‘resistance’ rises up to meet them.
== Description ==
Akinetic mutism varies across all patients. Its form, intensity, and clinical features correspond more closely to its functional anatomy rather than to its pathology. However, akinetic mutism most often appears in two different forms: frontal and mesencephalic.〔
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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