Locked-In Syndrome after Traumatic Basilar Artery Entrapment within a Clivus Fracture: A Case Report and Review of the Literature | Zendy

Tjerk J. Lagrand | Zendy; Vincent A.J. Bruijnes | Zendy; A. Madelein M. van der Stouwe | Zendy; Eric A. Deckers | Zendy; Aryan Mazuri | Zendy; Bram Jacobs | Zendy

Open Access

Locked-In Syndrome after Traumatic Basilar Artery Entrapment within a Clivus Fracture: A Case Report and Review of the Literature

Author(s) -

Tjerk J. Lagrand,

Vincent A.J. Bruijnes,

A. Madelein M. van der Stouwe,

Eric A. Deckers,

Aryan Mazuri,

Bram Jacobs

Publication year - 2020

Publication title -

neurotrauma reports

Language(s) - English

Resource type - Journals

ISSN - 2689-288X

DOI - 10.1089/neur.2020.0015

Subject(s) - entrapment , clivus , medicine , basilar artery , brainstem , complication , surgery , traumatic brain injury , head trauma , infarction , cardiology , skull , myocardial infarction , psychiatry

We report the case of a 58-year-old male with a rare vascular complication after traumatic head injury: entrapment of the basilar artery into a fracture of the clivus, ultimately leading to a locked-in syndrome due to brainstem infarction. Review of the literature revealed 19 earlier published cases of basilar artery entrapment within traumatic longitudinal clival fractures. In the majority of these patients there is an unfavorable neurological outcome.

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