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Indian Journal of Neurotrauma 2018; 15(02/03): 074-077
DOI: 10.1055/s-0039-1694694
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Locked-In Syndrome after Trauma—A Rare Case in the Literature

Jennyfer Paulla Galdino Chaves 
1   Department of Neurology, Cajuru Hospital, Curitiba, Brasil
,
Pedro Henrique Mezadri
2   Pontifícia Universidade Católica do Paraná (PUC-PR), Curitiba, Brasil
,
Thiago Suzuki
1   Department of Neurology, Cajuru Hospital, Curitiba, Brasil
,
Carlos Alexandre Twardowsky
1   Department of Neurology, Cajuru Hospital, Curitiba, Brasil
,
Tatiana Von Hertwig Fernandes Oliveira
3   Hospital Cajuru, Curitiba, Brasil
› Author Affiliations Funding None.
Further Information

Publication History

Received: 05 January 2019

Accepted after revision: 26 March 2019

Publication Date:
06 August 2019 (online)

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Abstract

The present report is about a 25-year-old woman who had a motorcycle accident with brain trauma injury. Although she was admitted at another institution disoriented but alert, she progressively evolved to an altered level of consciousness and required orotracheal intubation. She was then transferred to our hospital sedated, and the admission head computed tomography showed signs of posterior fossa ischemia. The angiography demonstrated a vertebral artery dissection with subsequent embolization to the basilar artery, which provoked its complete occlusion. After drug withdrawal, the patient recovered level of consciousness but was aphasic and did not exhibit purpose movements apart from eye blinking, as expected in patients with locked-in syndrome.

Keywords

locked-in syndrome - vertebral artery dissection - trauma brain injury (TBI)
 

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