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Related Experiment Video

Updated: Jul 4, 2026

Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients

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Published on: December 16, 2022

Basal ganglion stroke presenting as subtle behavioural change.

S J Wagner¹, T Begaz

¹University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.

Emergency Medicine Journal : EMJ

|June 25, 2008

Summary

A left basal ganglion infarct can present as isolated abulia, a lack of motivation. This case underscores the need for comprehensive evaluation of unexplained behavioral changes.

Area of Science:

Neurology
Neuroscience

Background:

Cerebral infarctions present with diverse neurological deficits.
Basal ganglia lesions can manifest in various ways, including motor and cognitive impairments.

Observation:

A case study details a patient with a left basal ganglion infarct.
The sole presenting symptom was isolated abulia, characterized by a profound lack of motivation and apathy.

Findings:

Abulia can be the singular clinical manifestation of a basal ganglia stroke.
Neuroimaging confirmed a left basal ganglion infarct as the cause of abulia.

Implications:

Clinicians should consider cerebral infarction in the differential diagnosis of acute abulia.
Thorough neurological and behavioral assessments are crucial for diagnosing subtle infarct presentations.

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