title: Locked-in syndrome caused by the pressure exerted by the sound gun.
abstract: A 19-year-old male patient who wounded himself with a gun in the cranial region had a Glasgow coma scale of 3E. At posttraumatic day 7, locked-in syndrome was considered upon detection of vertical eye movements, meaningful winks, and quadriplegia. Apart from the classical view, computed tomography (CT) and postmortem examination of the brain showed an infarct area in the cerebellum. However, vertebrobasilar artery system was normal. In this case report, we would like to present that unlike cases with ischemia, specific CT findings may not be evident in posttraumatic cases and ischemia may occur in the cerebellum as a result of the pressure exerted by a sound gun.
authors.affiliation: Department of Anesthesiology and Reanimation, Firat University, Faculty of Medicine, Elazig 23119, Turkey.
authors.forename: Ayse Belin
authors.initials: AB
authors.lastname: Ozer
authors.affiliation: Department of Anesthesiology and Reanimation, Firat University, Faculty of Medicine, Elazig 23119, Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Demirel
authors.affiliation: Department of Anesthesiology and Reanimation, Firat University, Faculty of Medicine, Elazig 23119, Turkey.
authors.forename: Mustafa K
authors.initials: MK
authors.lastname: Bayar
authors.affiliation: Department of Anesthesiology and Reanimation, Firat University, Faculty of Medicine, Elazig 23119, Turkey.
authors.forename: Gulay
authors.initials: G
authors.lastname: Gunduz
authors.affiliation: Department of Forensic Medicine, Firat University, Faculty of Medicine, Elazig 23119, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Tokdemir
keywords: Locked-in syndrome; sound gun; trauma