Transient Locked-in Syndrome and Basilar Artery Vasospasm View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-12-01

AUTHORS

G. Lacroix, D. Couret, X. Combaz, B. Prunet, N. Girard, N. Bruder

ABSTRACT

BackgroundCerebral vasospasm is the main cause of neurological mortality and morbidity following subarachnoid hemorrhage. Basilar artery vasospasm (BAVS) is associated with a high morbidity and may have multiple clinical presentations.MethodsWe report the case of a 43 years-old man with BAVS presenting as a reversible locked-in syndrome (LIS) after stopping sedation.ResultsThe symptoms were successfully managed by intra-arterial infusion of vasodilators and balloon angioplasty. Magnetic resonance imaging did not reveal any brainstem lesion 48 h after the complication, demonstrating a hemodynamic mechanism.ConclusionLIS can reveal BAVS. Its diagnosis relies on clinical examination. In this case, rapid neuro-interventional treatment permitted reversal of symptoms. This could not have been possible under sedation. More... »

PAGES

145-147

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12028-011-9655-z

DOI

http://dx.doi.org/10.1007/s12028-011-9655-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1035037951

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22131170


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