Akinetic Mutism after Shunt Failure: Short Communication with a Review of the Literature

Akinetic Mutism (AM) is an infrequent, but profound complication of recurrent obstructive hydrocephalus. This condition has a tendency not to improve, either spontaneously or with restoration of shunt function. Occasionally, complete recovery of hydrocephalic-related AM has been achieved with bromocriptine. However, we do not have detailed guidelines for dosage or duration of bromocriptine treatment. Therefore, we reviewed pharmacological treatments for AM because of shunt failure. Finally, we suggest appropriate treatment guidelines for this type of AM.