Behavioral symptoms after pallido-nigral lesions: A clinico-pathological case

被引:10
作者
Adam, Julien [2 ]
Baulac, Michel [1 ]
Hauw, Jean-Jacques [2 ]
Laplane, Dominique [1 ]
Duyckaerts, Charles [2 ]
机构
[1] Hop La Pitie Salpetriere, Lab Neuropathol Escourolle R, F-75651 Paris 13, France
[2] Univ Paris 06, INSERM, Hop La Pitie Salpetriere, AP HP,Raymond Escourolle Neuropathol Lab,U679, Paris, France
关键词
autoactivation deficit; basal ganglia; Alexander loop; substantia nigra; pallidum;
D O I
10.1080/13554790802032200
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 59-year-old patient presented with compulsive behaviors and lasting apathy after carbon monoxide intoxication. The apathy could be overcome by external stimulation (self-activation deficit). There was severe neuronal loss bilaterally in the anterior part of the pallidum and in the substantia nigra, pars reticulata. This first clinico-pathological case of a self-activation deficit illustrates the dissociation between motor and behavioral symptoms in lesions of the pallido-nigral complex, with the behavioral symptoms being related to lesions of the substantia nigra, pars reticulata and of the anterior part of the pallidum.
引用
收藏
页码:125 / 130
页数:6
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