Conflict of intentions associated with leukodystrophy: a case report

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  • Teduka Toshiyuki
    Department of Neurology, Brain Research Institute, Niigata University
  • Shimohata Takayoshi
    Department of Neurology, Brain Research Institute, Niigata University
  • Ishihara Tomohiko
    Department of Neurology, Brain Research Institute, Niigata University
  • Otsuki Mika
    School of Psychological Science, Health Sciences University of Hokkaido
  • Odano Ikuo
    Division of Functional Imaging, Department of Sensory and Integrative Medicine, Niigata University Graduate School of Medical and Dental Sciences
  • Nishizawa Masatoyo
    Department of Neurology, Brain Research Institute, Niigata University

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Other Title
  • Conflict of intentions を呈した白質ジストロフィーの1例
  • 症例報告 Conflict of intentionsを呈した白質ジストロフィーの1例
  • ショウレイ ホウコク Conflict of intentions オ テイシタ ハクシツ ジストロフィー ノ 1レイ

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Abstract

A 50-year-old woman developed a slowly progressive inability to control her motor functions over the past 3 years. For example, she would close the refrigerator door immediately after opening it against her intension, or at intersections she would go in a direction that she did not intend. These symptoms were regarded as “conflict of intentions (COI)." Brain magnetic resonance imaging (MRI) revealed diffuse atrophy of the corpus callosum with hyperintense lesions in the rostral portion of its body and the splenium. Based on these findings, her COI could be attributable to leukodystrophy of an unknown origin.

Journal

  • Rinsho Shinkeigaku

    Rinsho Shinkeigaku 53 (2), 114-118, 2013

    Societas Neurologica Japonica

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