title: Unlocking the 'locked-in syndrome'.
abstract: We present a case of a 48-year-old man who was initially thought to have had a brainstem stroke and was clinically 'locked-in'. Upon investigation, a petrous apex dural atriovenous fistula was identified causing profound brainstem venous hypertension. Surgical clipping lead to complete neurological recovery.
authors.affiliation: Department of Neurosurgery, Western General Hospital, Edinburgh, UK. manoshanmuganathan@nhs.net
authors.forename: Mano
authors.initials: M
authors.lastname: Shanmuganathan
authors.forename: Charles P
authors.initials: CP
authors.lastname: Warlow
authors.forename: Rustam
authors.initials: R
authors.lastname: Al-Shahi Salman
authors.forename: Peter
authors.initials: P
authors.lastname: Keston
authors.forename: Robin J
authors.initials: RJ
authors.lastname: Sellar
authors.forename: Ioannis P
authors.initials: IP
authors.lastname: Fouyas
mesh_terms: D001933:Brain Stem / Q000098:blood supply* / Q000601:surgery; D020526:Brain Stem Infarctions / Q000175:diagnosis*; D020785:Central Nervous System Vascular Malformations / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D002533:Cerebral Angiography; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011782:Quadriplegia / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome