A Case of Locked-in Syndrome in a Patient with Basilar Artery Thrombosis and Pontine Infarction
نویسندگان
چکیده
The Locked-in syndrome (pseudo-coma) describes patients who are awake and conscious but no producing speech, limb or facial movements. Acute ventral pontine lesions are its most common cause. We describe a case of ischemic lesion in the basal pons, due to thrombosis of the basilar artery in the middle portion. The patient remained comatose for some days, needing artificial respiration; under anticoagulant therapy gradually wake up, remaining paralyzed and voiceless. To recognize this condition it is critical from a prognostic and diagnostic point of view, because superficially this patients recall a vegetative state or akinetic mutism.
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A Step-Wise Multidisciplinary Rehabilitation Approach of Central Pontine and Extra Pontine Myelinosis in Locked-In Syndrome: A Case Report
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Locked-in syndrome (LIS) is an entity that usually occur a consequence of the lesion of ventral part of pons. Etiology of locked-in syndrome can be vascular and nonvascular origin. Locked-in syndrome usually occurs as a consequence of thrombosis of intermedial segment of basilar artery that induces bilateral infarction of the ventrobasal part of the pons. Additionally, LIS can be caused by trau...
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