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一名患有急性梗阻性脑积水的患者出现闭锁综合征，病因是基底动脉（BA）的大型未破裂动脉瘤。

Locked-in syndrome in a patient with acute obstructive hydrocephalus, caused by large unruptured aneurysm of the basilar artery (BA).

作者信息

Kolić Zlatko, Kukuljan Melita, Vukas Duje, Bonifačić David, Vrbanec Kristina, Franić Ivana Karla

机构信息

a Department of Neurosurgery , Polyclinic Medico , Rijeka , Croatia.

b Department of Radiology , Clinical Hospital Center Rijeka , Rijeka , Croatia.

出版信息

Br J Neurosurg. 2017 Dec;31(6):738-740. doi: 10.1080/02688697.2016.1229755. Epub 2016 Sep 15.

DOI:10.1080/02688697.2016.1229755
PMID:27633006
Abstract

We describe a case of acute obstructive hydrocephalus as a consequence of compression of the brainstem by a large aneurysm of the basilar artery (BA) in a 62-year-old male. After the insertion of the ventriculoperitoneal shunt (VPS), we encountered the "locked-in syndrome" clinical condition. "Locked-in syndrome" is a clinical state characterized by quadriplegia and anarthria with preserved consciousness, most commonly caused by ischemia in the ventral part of pons.

摘要

我们描述了一例62岁男性因基底动脉（BA）大动脉瘤压迫脑干导致急性梗阻性脑积水的病例。在插入脑室腹腔分流术（VPS）后，我们遇到了“闭锁综合征”的临床情况。“闭锁综合征”是一种以四肢瘫痪和构音障碍但意识保留为特征的临床状态，最常见的原因是脑桥腹侧缺血。

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Br J Neurosurg. 2017 Dec;31(6):738-740. doi: 10.1080/02688697.2016.1229755. Epub 2016 Sep 15.
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引用本文的文献

1
Locked-in syndrome revisited.再谈闭锁综合征。
Ther Adv Neurol Disord. 2023 Mar 29;16:17562864231160873. doi: 10.1177/17562864231160873. eCollection 2023.