Unlocking the 'locked-in syndrome'

Br J Neurosurg. 2011 Feb;25(1):109-10. doi: 10.3109/02688697.2010.542838.

Abstract

We present a case of a 48-year-old man who was initially thought to have had a brainstem stroke and was clinically 'locked-in'. Upon investigation, a petrous apex dural atriovenous fistula was identified causing profound brainstem venous hypertension. Surgical clipping lead to complete neurological recovery.

Publication types

  • Case Reports

MeSH terms

  • Brain Stem / blood supply*
  • Brain Stem / surgery
  • Brain Stem Infarctions / diagnosis*
  • Central Nervous System Vascular Malformations / complications
  • Central Nervous System Vascular Malformations / diagnosis*
  • Central Nervous System Vascular Malformations / surgery
  • Cerebral Angiography
  • Diagnosis, Differential
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Quadriplegia / diagnosis*
  • Quadriplegia / surgery
  • Treatment Outcome