Pachyonychia congenital (PC) is a rare genodermatosis affecting the nails, skin, oral mucosae, larynx, hair, and teeth. General clinical presentation includes thickening of finger and toenails, painful plantar keratoderma, hyperhidrosis, oral leukokeratosis, follicular keratosis, palmar keratoderma, cutaneous cysts, hoarseness, twisted hair and prenatal or natal teeth. Clinically, PC is d...

Locked in syndrome is a rare neurological entity which usually misdiagnosed as spinal pathology. Here we report 70 years-old hypertensive and diabetic gentleman presented with quadriplegia without upsetting his conscious level.