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Related Experiment Video

Updated: May 13, 2026

Simultaneous Scalp Electroencephalography (EEG), Electromyography (EMG), and Whole-body Segmental Inertial Recording for Multi-modal Neural Decoding
11:25

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Published on: July 26, 2013

Locked-in, walked out.

Seamus Kearney1, John McCann, Stanley Hawkins

  • 1Department of Neurology, Royal Victoria Hospital Belfast, Northern Ireland.

The Ulster Medical Journal
|March 26, 2013
PubMed
Summary

Patients with locked-in syndrome from pontine infarction can experience good recovery. Early intensive care and rehabilitation may enhance brain plasticity and improve outcomes.

Area of Science:

  • Neurology
  • Neuroscience
  • Critical Care Medicine

Background:

  • Locked-in syndrome (LIS) is a rare neurological condition characterized by complete paralysis and inability to communicate, often resulting in severe disability.
  • Pontine infarction, a stroke affecting the pons in the brainstem, is a common cause of LIS, typically associated with poor prognosis.

Observation:

  • This case report details a patient who experienced an unexpectedly significant recovery from LIS following a pontine infarction.
  • The patient's recovery trajectory deviated markedly from the generally observed poor outcomes associated with this condition.

Findings:

  • The patient's favorable outcome may be attributed to the resolution of edema at the infarction site.
  • Neuroplasticity in the brainstem, potentially enhanced by early intensive care unit (ICU) supportive measures and prompt, aggressive rehabilitation, likely played a crucial role.

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Implications:

  • This case suggests that intensive supportive care and early, comprehensive rehabilitation strategies can positively influence recovery in LIS patients.
  • Further research into the mechanisms of brainstem plasticity and the optimal timing/intensity of interventions is warranted to improve LIS patient outcomes.