Orenstein M, Réal P, Stierlé F, Fuchs C
Centre Hospitalier, Mulhouse.
Cah Anesthesiol. 1990 Mar;38(2):87-90.
We report a case of locked-in syndrome occurring two days after a cranio-cervical trauma in a 28 years old male patient. It was a consequence of basilar thrombosis after left vertebral artery dissection secondary to a vertebral fracture at the C6 level. Decerebrate rigidity and apparent unconsciousness led to misdiagnosing it for post traumatic coma. It took several days to correct this mistake. To avoid this pitfall, we insist on the clinical features of this syndrome and discuss which investigations are needed and which therapy is available.
我们报告一例28岁男性患者在颅颈外伤两天后发生闭锁综合征的病例。这是由于C6水平椎体骨折继发左椎动脉夹层后基底动脉血栓形成所致。去大脑强直和明显的昏迷导致将其误诊为创伤后昏迷。花了几天时间才纠正这个错误。为避免这一陷阱，我们强调该综合征的临床特征，并讨论需要哪些检查以及有哪些可用的治疗方法。
