Related Experiment Video
Updated: Apr 19, 2026

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
Published on: July 21, 2013
Locked-in syndrome caused by the pressure exerted by the sound gun
Ayse Belin Ozer1, Ismail Demirel1, Mustafa K Bayar1
1Department of Anesthesiology and Reanimation, Firat University, Faculty of Medicine, Elazig 23119, Turkey.
Abstract:
A 19-year-old male patient who wounded himself with a gun in the cranial region had a Glasgow coma scale of 3E. At posttraumatic day 7, locked-in syndrome was considered upon detection of vertical eye movements, meaningful winks, and quadriplegia. Apart from the classical view, computed tomography (CT) and postmortem examination of the brain showed an infarct area in the cerebellum. However, vertebrobasilar artery system was normal. In this case report, we would like to present that unlike cases with ischemia, specific CT findings may not be evident in posttraumatic cases and ischemia may occur in the cerebellum as a result of the pressure exerted by a sound gun.
Related Concept Videos
Increased Intracranial Pressure ll: Pathophysiology
Increased Intracranial Pressure l: Introduction
Cerebral Edema ll: Pathophysiology
Cytotoxic Edema: Pathophysiology
Ischemic Stroke ll: Pathophysiology
Cerebral Edema l: Introduction

