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Pseudoakathisia from a acquired lesion

S Daigneault1, C M Braun, R Bouffard

  • 1Hôpital de Montréal pour Enfants, Département de Psychologie, Université du Québec à Montréal, Canada.

Neuropsychiatry, Neuropsychology, and Behavioral Neurology
|September 22, 1998
PubMed
Summary

Akathisia, the inability to remain seated, can stem from medication or brain lesions. A unique case suggests combined basal ganglia and frontal lobe damage may cause objective akathisia without subjective distress.

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Area of Science:

  • Neurology
  • Neuroscience
  • Movement Disorders

Background:

  • Akathisia is a common side effect of neuroleptic medications.
  • It can also occur with other drug regimens.
  • Focal brain lesions causing akathisia are rarely documented.

Observation:

  • A patient presented with objective signs of akathisia.
  • This patient reported no subjective feelings of restlessness.
  • The patient had a lesion affecting both the basal ganglia and frontal lobe.

Findings:

  • The case suggests a combined basal ganglia and frontal lobe lesion can induce objective akathisia (pseudoakathisia).
  • This contrasts with typical akathisia, which often involves subjective distress.
  • Lesion location may determine the presentation of akathisia.

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Implications:

  • Understanding lesion-specific akathisia can refine diagnosis.
  • This finding may impact treatment strategies for movement disorders.
  • Further research into focal brain lesions and movement abnormalities is warranted.