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Locked-in syndrome resulting from cervical spine gunshot wound
L F Fitzgerald1, R K Simpson, T Trask
1Department of Neurosurgery, Baylor College of Medicine, Houston, TX 77030, USA.
The Journal of Trauma
|January 1, 1997
Abstract:
A patient sustained a cervical spine gunshot wound resulting in immediate quadriplegia and obstruction of both vertebral arteries. After an 8-hour delay, basilar artery thrombosis occurred and resulted in locked-in syndrome. Bilateral occlusion of the vertebral arteries after penetrating cervical trauma has not been reported previously. The incidence and treatment of traumatic basilar thrombosis and locked-in syndrome is reviewed. Rapid diagnosis of ascending thrombosis and prompt treatment with hyperdynamics and anticoagulation may improve outcome.