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Vol 5, No 1 (2003)
Prace kazuistyczne
Published online: 2003-05-15
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Locked in syndrome - a case report

Krystyna Szyrocka-Szwed, Andrzej Wajgt, Marcin Dudzic
Udar Mózgu. Problemy Interdyscyplinarne 2003;5(1):13-16.

open access

Vol 5, No 1 (2003)
Prace kazuistyczne
Published online: 2003-05-15

Abstract

Locked in syndrome is a very rare stroke caused by a primary vascular or traumatic injury to the brainstem in regio vascularisationis vertebrobasilar artery corresponding to the ventral pons lesion due to an obstruction of the basilar artery. The signs are: upper motor neuron quadriplegia, paralysis of cranial nerves, anarthria, with preserved consciousiones. Patient has presented vertical eye movements and movements of the eyelids (blinking). That is the means to responding to the world. The principal causes are: atheromathosis (the most frequently), haemorrhagic stroke, trauma and cervical manipulation and Willis's circles abnormality. The age when this syndrome may occur is middle age, equally frequent in men and women but on describe 1-years old children with this syndrome. We present our patient with this syndrome. It was a young men, who worked in the mine and never been at the hospital. He had a stroke with aphasia and hemiplegia on the right and duodenitis haemmorhagica. Blood examinations showed: lipids fractions abnormality, CT and angio MRI showed atheromatosis. After 27 days it was a second stroke with lockedin syndrome and with respiratory dysfunction. Ct control showed left side pons leasion. We find in the literature a few cases of this syndrome, some of them alived (average time is about 3 years), some died during acute phase of illness. The complications was: pneumonia, respiratory abnormality, very strong trauma with the occlusion of both vertebral artery). We compared our cases with others and described the history of the patients who alived.

Abstract

Locked in syndrome is a very rare stroke caused by a primary vascular or traumatic injury to the brainstem in regio vascularisationis vertebrobasilar artery corresponding to the ventral pons lesion due to an obstruction of the basilar artery. The signs are: upper motor neuron quadriplegia, paralysis of cranial nerves, anarthria, with preserved consciousiones. Patient has presented vertical eye movements and movements of the eyelids (blinking). That is the means to responding to the world. The principal causes are: atheromathosis (the most frequently), haemorrhagic stroke, trauma and cervical manipulation and Willis's circles abnormality. The age when this syndrome may occur is middle age, equally frequent in men and women but on describe 1-years old children with this syndrome. We present our patient with this syndrome. It was a young men, who worked in the mine and never been at the hospital. He had a stroke with aphasia and hemiplegia on the right and duodenitis haemmorhagica. Blood examinations showed: lipids fractions abnormality, CT and angio MRI showed atheromatosis. After 27 days it was a second stroke with lockedin syndrome and with respiratory dysfunction. Ct control showed left side pons leasion. We find in the literature a few cases of this syndrome, some of them alived (average time is about 3 years), some died during acute phase of illness. The complications was: pneumonia, respiratory abnormality, very strong trauma with the occlusion of both vertebral artery). We compared our cases with others and described the history of the patients who alived.
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Keywords

stroke; brainstem; young people; a case presentation; prognosis

About this article
Title

Locked in syndrome - a case report

Journal

Interdisciplinary Problems of Stroke

Issue

Vol 5, No 1 (2003)

Pages

13-16

Published online

2003-05-15

Bibliographic record

Udar Mózgu. Problemy Interdyscyplinarne 2003;5(1):13-16.

Keywords

stroke
brainstem
young people
a case presentation
prognosis

Authors

Krystyna Szyrocka-Szwed
Andrzej Wajgt
Marcin Dudzic

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