Matsuoka S
Department of Neurosurgery, Nippon Steel Yawata Memorial Hospital, 1-1-1 Haruno-machi, Yahatahigashi-ku, Kitakyushu 805-8508, Japan.
No Shinkei Geka. 2001 Dec;29(12):1189-92.
A juvenile case of locked-in syndrome (LiS) caused by pontine infarction was reported. A 26-year-old woman suddenly complained of speech disturbance, weakness of the left upper and lower limbs, and occipital headache. She was admitted to an emergency hospital. Magnetic resonance imaging (MRI) showed a high intensity area on T2-weighted image at the ventral portion of the pons. She was transferred to our hospital for further treatment. On admission, she was mute and quadriplegic, but responded to our questions with vertical eye movements and blinks. Vertebral and carotid angiography demonstrated complete occlusion of the basilar artery between the bilateral superior cerebellar artery and the bilateral anterior inferior cerebellar artery. As she was able to move her head, she began training to use a personal computer equipped with a special device as a communication tool. Three years from the onset, she stays at her home, takes her favorite foods, and enjoys her life.
报告了一例由脑桥梗死引起的闭锁综合征（LiS）的青少年病例。一名26岁女性突然出现言语障碍、左上肢和下肢无力以及枕部头痛。她被送往一家急诊医院。磁共振成像（MRI）显示脑桥腹侧T2加权图像上有一个高强度区域。她被转到我院接受进一步治疗。入院时，她缄默且四肢瘫痪，但通过垂直眼球运动和眨眼回答我们的问题。椎动脉和颈动脉血管造影显示双侧小脑上动脉和双侧小脑前下动脉之间的基底动脉完全闭塞。由于她能够移动头部，她开始训练使用配备特殊设备的个人电脑作为交流工具。发病三年后，她待在家里，吃着自己喜欢的食物，享受着生活。
