Open AccessLocked-in syndrome caused by the pressure exerted by the sound gun
Author(s) -
Ayşe Belin Özer,
İsmail Demirel,
Mustafa Kemal Bayar,
G Gunduz,
Mehmet Tokdemir
Publication year - 2014
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.144089
Subject(s) - medicine , glasgow coma scale , sound (geography) , neurological examination , cerebellum , ischemia , coma (optics) , radiology , computed tomography , intracranial pressure , surgery , anatomy , cardiology , physics , geomorphology , optics , geology
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.