Open AccessLocked-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 , surgery , complication , head trauma , traumatic brain injury , skull , 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.