Locked-in syndrome caused by the pressure exerted by the sound gun

Ozer A. B., Demirel I., Bayar M. K., Gunduz G., Tokdemir M.

SAUDI JOURNAL OF ANAESTHESIA, cilt.8, sa.5, 2014 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 8 Sayı: 5
  • Basım Tarihi: 2014
  • Doi Numarası: 10.4103/1658-354x.144089
  • Dergi Adı: SAUDI JOURNAL OF ANAESTHESIA
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Anahtar Kelimeler: Locked-in syndrome, sound gun, trauma
  • Ankara Üniversitesi Adresli: Evet

Özet

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.