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Emergency casebooks
Basal ganglion stroke presenting as subtle behavioural change
  1. S J Wagner1,
  2. T Begaz2
  1. 1
    University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
  2. 2
    Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  1. Dr T Begaz, Department of Emergency Medicine, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226, USA; TBegaz{at}mcw.edu

Abstract

Cerebral infarctions can have many presentations ranging from hemiparesis to subtle behavioural changes. A case is presented in which the only sign of a left basal ganglion infarct was isolated abulia. This case highlights the importance of a thorough evaluation in cases of acute unexplained changes in behaviour.

http://dx.doi.org/10.1136/emj.2008.057968

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    Footnotes

    • Funding: None.

    • Competing interests: None.

    • Patient consent: Informed consent was obtained for publication of the details in this report.

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    2008 BMJ Publishing Group Ltd and the British Association for Emergency Medicine