Posttraumatic locked-in syndrome with an unusual three day delay in the appearance.
We report a rare case of posttraumatic locked-in syndrome (LIS) that appeared after an unusual three day delay. LIS was diagnosed according to clinical status and diagnostic methods (roentgenograms, computerized tomography, transcranial Doppler, electroencephalography, magnetic resonance imaging). A fourteen-year-old girl had a cervical spine injury during floor exercises that provoked LIS 72 hours after trauma. A rapid diagnosis of basilar thrombosis followed by antioedema and continuous anticoagulant therapy significantly improved the neurological status. In conclusion, posttraumatic locked-in syndrome can have sometimes a prolonged three-day delay in the clinical appearance.
Golubović
Vesna
V
Department of Anaesthesiology and Intensive Care Therapy, Clinical Hospital Centre Rijeka, Rijeka, Croatia.
Muhvić
Damir
D
Golubović
Snjezana
S
D000293:Adolescent; D000925:Anticoagulants / Q000627:therapeutic use; D001488:Basilar Artery / Q000473:pathology*; D001929:Brain Edema / Q000209:etiology; D005260:Female; D006173:Gymnastics / Q000293:injuries; D006801:Humans; D018908:Muscle Weakness / Q000209:etiology; D019838:Neck Injuries / Q000150:complications*; D011149:Pons / Q000293:injuries*; D013124:Spinal Injuries / Q000150:complications*; D013577:Syndrome; D013927:Thrombosis / Q000150:complications* / Q000209:etiology*; D013997:Time Factors; D016896:Treatment Outcome
D000925:Anticoagulants