Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Neurochirurgie. 2022 Dec;68(6):e104-e106. doi: 10.1016/j.neuchi.2022.05.003. Epub 2022 May 26.
Locked in syndrome (LIS) is a condition characterized by quadriplegia, lower cranial nerve palsies and mutism in which only vertical eye movements and upper eyelid movements are preserved while the patient's state of consciousness is intact. The most common cause of LIS is pontine infarction after vertebrobasilar system occlusion. We hereby present a case report of LIS secondary to cervicomedullary contusion after head trauma. Due to the possibility of neurological recovery, early and accurate diagnosis is important in posttraumatic nonvascular LIS cases and aggressive neurological and other systemic treatment and early neurological rehabilitaion options should also be eveluated. Neurological rehabilitaion of these ventilator dependent patients is difficult and should be improved.
闭锁综合征（LIS）是一种以四肢瘫痪、颅神经瘫痪和缄默为特征的病症，仅保留垂直眼球运动和上眼睑运动，而患者的意识状态完好。LIS 最常见的原因是椎基底动脉系统闭塞后的脑桥梗死。我们在此报告一例因头部外伤后颈髓挫伤引起的 LIS 病例。由于存在神经恢复的可能，因此在创伤后非血管性 LIS 病例中，早期和准确的诊断很重要，还应评估积极的神经和其他全身治疗以及早期神经康复选择。这些需要呼吸机辅助的患者的神经康复较为困难，应加以改善。
