31. Similarly to akinetic mutism , patients with locked-in syndrome experience paralysis and can only communicate with their eyes. 32. Three weeks later, she said, Audrey emerged from the coma and now lives in a state called akinetic mutism . 33. Iodine deficiency can cause paralysis, deaf-mutism , dwarfism, facial and physical deformities, cretinism and nerve damage. 34. Searching for " Americans with Disabilities Act " and " selective mutism " turns up documents like at selectivemutism . org. 35. A : You describe a condition that sounds like " selective mutism , " a somewhat rare disorder among children. 36. Elective mutism was described as " a continuous refusal to speak in almost all social situations " despite normal ability to speak. 37. "Hearing mutism " is an obsolete term used in the late nineteenth and early twentieth century for specific language impairment. 38. Sheldon is quite content spending his nights playing Rajesh Koothrappali, who suffers from selective mutism , in particular when Penny is around. 39. He only answer to my reversions by reversions, and to my questions by mutism ! ( lack of arguments i guess ). 40. He offers Maya to become his youngest daughter's ( who has selective mutism ) temporary nanny in exchange for his help.