Complete T2-fogging of pontomedullary infarction in Locked-In Syndrome.
We report a patient who was treated with intravenous thrombolysis, and subsequently developed a Locked-In Syndrome (LIS). After 2 days, magnetic resonance imaging showed a large bilateral pontomedullary infarction. However, in contrast to the patient's clinical situation, the follow-up T2-weighted MR images up to day 26 did not display the infarction. This phenomenon is known as the so-called fogging effect.
Nagel
Simon
S
Department of Neurology, University of Heidelberg, INF 400, 69120, Heidelberg, Germany. simon.nagel@med.uni-heidelberg.de
Herweh
Christian
C
Aleu
Aitziber Bonaut
AB
Bonaut
Aitziber Aleu
AA
Schellinger
Peter D
PD
Mellado
Patricio
P
D000368:Aged; D002544:Cerebral Infarction / Q000473:pathology / Q000628:therapy; D038524:Diffusion Magnetic Resonance Imaging; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008526:Medulla Oblongata / Q000473:pathology; D011149:Pons / Q000473:pathology; D011782:Quadriplegia / Q000209:etiology*; D020521:Stroke / Q000473:pathology* / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000009:adverse effects*