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Loss of psychic self activation compulsive activity of obsessional type bilateral lenticular lesions



Loss of psychic self activation compulsive activity of obsessional type bilateral lenticular lesions



Revue Neurologique (Paris) 138(2): 137-142



After C intoxication with coma of short duration, a 25 yr-old man sustained a demential state and during the 1st wk, a mild extrapyramidal syndrome. One year later, the mental state had progressively improved, although with a severe anterograde amnesia existed. Without external stimulation, the patient remained inert without any activity, often lying on his bed but not sleeping. If he was stimulated, his physical, intellectual and affective performances were nearly normal, but verbal fluency remained poor. Psychic self-activation appeared to be lost but psychic possibilities after external stimulation were nearly normal. When inactive, the patient was occupied with a mental compulsive activity. C.A.T. [computer assisted tomography] showed bilateral necrotizing lesions in the globus pallidus. A previously reported case of bilateral lenticular lesions produced the same syndrome. The pallidal area seems to play a determinant role in the processes of self-activation of psychic life.

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Accession: 005832667

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PMID: 7100739


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