engleski

Posttraumatic Locked-in Syndrome with an Unusual Three Day Delay in the Appearance

We report a rare case of posttraumatic locked-in syndrome (LIS) that appeared after an anusual three day delay. LIS was diagnosed according to clinical status and diagnostic methods (roentgenograms, computerized tomography, trancranial Doppler, electroencephalography, magnetic resonance imaging). A fourtheen-year-old girl had a cervical spine injury during floor exercises that provoked LIS 72 hours after trauma. A rapid diagnosis of basilar thrombosis followed by antioedema and continous anticoagulant therapy significantly improved the neurological status. In conclusion, posttraumatic locked-in syndrome can have sometimes a prolonged three day delay in the clinical appearance.

locked-in syndrome; cervical spine injury; basilar thrombosis

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