Aboulia

WikiDoc Resources for Aboulia
Articles
Most recent articles on Aboulia Most cited articles on Aboulia Review articles on Aboulia Articles on Aboulia in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Aboulia Images of Aboulia Photos of Aboulia Podcasts & MP3s on Aboulia Videos on Aboulia
Evidence Based Medicine
Cochrane Collaboration on Aboulia Bandolier on Aboulia TRIP on Aboulia
Clinical Trials
Ongoing Trials on Aboulia at Clinical Trials.gov Trial results on Aboulia Clinical Trials on Aboulia at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Aboulia NICE Guidance on Aboulia NHS PRODIGY Guidance FDA on Aboulia CDC on Aboulia
Books
Books on Aboulia
News
Aboulia in the news Be alerted to news on Aboulia News trends on Aboulia
Commentary
Blogs on Aboulia
Definitions
Definitions of Aboulia
Patient Resources / Community
Patient resources on Aboulia Discussion groups on Aboulia Patient Handouts on Aboulia Directions to Hospitals Treating Aboulia Risk calculators and risk factors for Aboulia
Healthcare Provider Resources
Symptoms of Aboulia Causes & Risk Factors for Aboulia Diagnostic studies for Aboulia Treatment of Aboulia
Continuing Medical Education (CME)
CME Programs on Aboulia
International
Aboulia en Espanol Aboulia en Francais
Business
Aboulia in the Marketplace Patents on Aboulia
Experimental / Informatics
List of terms related to Aboulia

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

Overview

Aboulia or Abulia (from the Greek "αβουλία", meaning "non-will"), in neurology, refers to a lack of will or initiative. The patient is unable to act or make decisions independently. It may range in severity from subtle to overwhelming.

Pathophysiology

Abulia may result from a variety of brain injuries which cause personality change, such as dementing illnesses, trauma, or intracerebral hemorrhage (stroke), especially stroke causing diffuse injury to the right hemisphere. Abulia has also been associated with amphetamine withdrawal.It may complicate rehabilitation when a stroke patient is uninterested in performing tasks like walking despite being capable of doing so. It should be differentiated from apraxia, when a brain injured patient has impairment in comprehending the movements necessary to perform a motor task despite not having any paralysis that prevents performing the task; that condition can also result in lack of initiation of activity.

Especially in patients with progressive dementia, it may affect feeding. Patients may continue to chew or hold food in their mouths for hours without swallowing it. The behavior may be most evident after these patients have eaten part of their meals and no longer have strong appetites. Caregivers can use sweet or salty flavored foods later in meals to provide interest and increase oral intake, but must always clear the mouth of food after each meal.

Causes

Common Causes

• Amphetamine withdrawal
• Dementia
• Intracerebral hemorrhage
• Traumatic Brain injury

Causes by Organ System

Cardiovascular	No underlying causes
Chemical / poisoning	No underlying causes
Dermatologic	No underlying causes
Drug Side Effect	No underlying causes
Ear Nose Throat	No underlying causes
Endocrine	No underlying causes
Environmental	No underlying causes
Gastroenterologic	No underlying causes
Genetic	No underlying causes
Hematologic	No underlying causes
Iatrogenic	No underlying causes
Infectious Disease	No underlying causes
Musculoskeletal / Ortho	No underlying causes
Neurologic	No underlying causes
Nutritional / Metabolic	No underlying causes
Oncologic	No underlying causes
Opthalmologic	No underlying causes
Overdose / Toxicity	No underlying causes
Psychiatric	No underlying causes
Pulmonary	No underlying causes
Renal / Electrolyte	No underlying causes
Rheum / Immune / Allergy	No underlying causes
Trauma	No underlying causes
Miscellaneous	No underlying causes