To be clear, https://en.wikipedia.org/wiki/Akinetic_mutism https://en.wikipedia.org/wiki/Akinetic_mutism is a thing — without enough dopamine in your motor cort

To be clear, https://en.wikipedia.org/wiki/Akinetic_mutism https://en.wikipedia.org/wiki/Akinetic_mutism is a thing — without enough dopamine in your motor cortex, you're "paralyzed" in the sense that there's nothing you (or anyone else) can do to force your body to respond — sometimes even going as far as your body no longer having autonomous reflex responses to reflex-inducing stimuli, similar to someone who's been rendered unconscious. I'm not a neurologist, but I imagine there's a spectrum there, where other less-severe neurological problem-states (like depression) can get you part of the way to akinetic mutism, and thus you may be fully "paralyzed" in the above sense some of the time, or partially "paralyzed" all of the time.