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      { "type" : "literal", "value" : "Mutyzm akinetyczny (stan apaliczy) \u2013 stan, w kt\u00F3rym chory jest przytomny, potrafi otwiera\u0107 oczy, zachowuje zdolno\u015B\u0107 wodzenia oczami i fiksacji wzroku, lecz nie jest w stanie nawi\u0105za\u0107 kontaktu z otoczeniem ani wykonywa\u0107 ruch\u00F3w dowolnych. Ponadto zniesione s\u0105 odruchy poza reakcjami uk\u0142adu autonomicznego. Stan ten powstaje na skutek obustronnego uszkodzenia tworu siatkowatego, wzg\u00F3rza i zakr\u0119tu obr\u0119czy w wyniku np. udaru, nowotworu lub niedotlenienia. Mo\u017Ce by\u0107 r\u00F3wnie\u017C obserwowany w ko\u0144cowych stadiach choroby Creutzfeldta-Jakoba" , "lang" : "pl" } ,
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      { "type" : "literal", "value" : "Akinetic mutism is a medical term describing patients tending neither to movenor speak. It is the result of severe frontal lobe injury in which the pattern of inhibitory control is one of increasing passivity and gradually decreasing speech and motion. An example of a cause of this disorder is an olfactory groove meningioma. It is also seen in the final stages of Creutzfeldt-Jakob Disease, and in acute cases of encephalitis lethargica. It can also occur in a stroke that affects both anterior cerebral artery territories. Another cause is neurotoxicity due to drugs such as Tacrolimus and Cyclosporine. Another cause of both akinesia and mutism is ablation of the cingulate gyrus. Destruction of the cingulate gyrus has been used in the treatment of psychosis. Such lesions result in akinesia, mutism, apathy, and indifference to painful stimuli." , "lang" : "en" } ] ,
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