短暂性全闭锁综合征，由椎动脉和基底动脉夹层引起。
Transient total locked-in syndrome due to vertebral and basilar artery dissection.
机构信息
Department of Neurology, Saiseikai Kumamoto Hospital, Kumamoto, Japan
Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
出版信息
BMJ Case Rep. 2021 Feb 22;14(2):e238912. doi: 10.1136/bcr-2020-238912.
A 52-year-old woman suddenly presented with right conjugate eye deviation, anarthria and quadriplegia, and appeared to be in a deep coma. MRI revealed a new infarct in the left cerebellar hemisphere and stenosis in the distal portion of the basilar artery caused by arterial dissection. Her deficits improved within 6 hours of onset. Moreover, on day 1, she described that she had been alert and her vision, hearing and somatic sensation had been preserved during the illness. Total locked-in syndrome should be considered while assessing patients with total immobility who are unable to communicate.
一位 52 岁女性突发出现右眼凝视障碍、构音障碍和四肢瘫痪，并表现为深度昏迷。MRI 显示左侧小脑半球出现新梗死，基底动脉远端狭窄，由动脉夹层引起。发病后 6 小时内，她的症状有所改善。此外，在发病第一天，她描述说自己一直保持清醒，在患病期间视力、听力和躯体感觉均正常。对于无法交流的完全不能活动的患者，应考虑完全性闭锁综合征。
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