Neurosurgery · 2011
Posterior fossa subdural hematoma resulting in locked-in syndrome: case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Sedney Cara L, Coger Brenton R, Bailes Julian E
Аннотация
BACKGROUND AND IMPORTANCE: Locked-in syndrome (LIS) is a well-known and devastating clinical entity, of which stroke is the most common cause; the distant second, trauma, usually results in LIS from basilar artery dissection. Our case report describes a posterior fossa subdural hematoma causing LIS, likely by direct compression of neural structures, which is a unique etiology and prognosis compared with other causes.
CLINICAL PRESENTATION: A 34-year-old female experienced a posterior fossa subdural hematoma. She was taken emergently for evacuation, and on postoperative examination was found to be locked-in. The symptom complex, while classic for LIS, resolved at an accelerated rate compared with previous reports. Emergent evacuation of clot and rehabilitation were performed.
CONCLUSION: Prompt treatment allowed this patient to experience an accelerated and more complete recovery compared with the ischemic causes of LIS.
CLINICAL PRESENTATION: A 34-year-old female experienced a posterior fossa subdural hematoma. She was taken emergently for evacuation, and on postoperative examination was found to be locked-in. The symptom complex, while classic for LIS, resolved at an accelerated rate compared with previous reports. Emergent evacuation of clot and rehabilitation were performed.
CONCLUSION: Prompt treatment allowed this patient to experience an accelerated and more complete recovery compared with the ischemic causes of LIS.