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Published 5 May 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.10.2008.1139]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual presentation of more common disease/injury

Basal ganglion stroke presenting as subtle behavioural change

Stephanie J Wagner1, T Begaz2

1 University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
2 Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA

Correspondence to:
T Begaz, TBegaz{at}mcw.edu

SUMMARY

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.


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