Virgile R S
Clin Neurol Neurosurg. 1984;86(4):275-9. doi: 10.1016/0303-8467(84)90289-0.
A case of locked-in syndrome is described and the literature is reviewed. The disorder consists of quadriplegia and mutism with preserved consciousness. The only remaining voluntary movements are usually vertical eye movements and eyelid blinking. Most cases are caused by basilar artery occlusion resulting in a brainstem infarction in the ventral pons. Health care personnel must be aware that: 1) cognition and some cutaneous sensation is intact and 2) while for most patients the prognosis is poor, there is some chance for partial to almost complete recovery.
本文描述了一例闭锁综合征病例并对相关文献进行了综述。该病症表现为四肢瘫痪和缄默症，但意识保留。仅存的自主运动通常为垂直眼球运动和眨眼。大多数病例由基底动脉闭塞导致腹侧脑桥脑干梗死引起。医护人员必须意识到：1）认知和部分皮肤感觉完好无损；2）虽然大多数患者预后较差，但仍有部分恢复甚至几乎完全恢复的机会。
