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A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor
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Posttraumatic locked-in syndrome from combined brainstem and upper cervical injury in childhood: A case report

T A Kartum1, G Baş1, R Kemerdere1

  • 1Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey.

Neuro-Chirurgie
|June 1, 2022
PubMed

Insights

Locked-in syndrome (LIS) is a rare condition where patients are conscious but unable to move. This case highlights LIS caused by head trauma, emphasizing early diagnosis and rehabilitation for potential recovery.

Area of Science:

  • Neurology
  • Trauma Medicine

Background:

  • Locked-in syndrome (LIS) typically results from pontine infarction due to vertebrobasilar system occlusion.
  • LIS is characterized by preserved consciousness with quadriplegia, mutism, and intact vertical eye movements.

Observation:

  • This case report details LIS secondary to cervicomedullary contusion following head trauma.
  • The patient presented with classic LIS symptoms after a nonvascular injury.

Findings:

  • Post-traumatic nonvascular LIS requires early and accurate diagnosis for potential neurological recovery.
  • Prompt identification is crucial for initiating appropriate treatment and rehabilitation strategies.

Implications:

  • Aggressive neurological and systemic treatment, alongside early rehabilitation, should be evaluated for post-traumatic LIS.
  • Improving neurological rehabilitation for ventilator-dependent patients with LIS is essential.

Keywords:
Cervicomedullary contusionHead traumaLocked in syndrome

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