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Published on: June 21, 2019
Posttraumatic locked-in syndrome with an unusual three day delay in the appearance
Vesna Golubović1, Damir Muhvić, Snjezana Golubović
1Department of Anaesthesiology and Intensive Care Therapy, Clinical Hospital Centre Rijeka, Rijeka, Croatia.
Abstract:
We report a rare case of posttraumatic locked-in syndrome (LIS) that appeared after an unusual three day delay. LIS was diagnosed according to clinical status and diagnostic methods (roentgenograms, computerized tomography, transcranial Doppler, electroencephalography, magnetic resonance imaging). A fourteen-year-old girl had a cervical spine injury during floor exercises that provoked LIS 72 hours after trauma. A rapid diagnosis of basilar thrombosis followed by antioedema and continuous anticoagulant therapy significantly improved the neurological status. In conclusion, posttraumatic locked-in syndrome can have sometimes a prolonged three-day delay in the clinical appearance.
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