Transient Locked-in Syndrome and Basilar Artery Vasospasm
| Autor: | D. Couret, X Combaz, G. Lacroix, B. Prunet, Nicolas Bruder, N. Girard |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Subarachnoid hemorrhage Neurology Vasodilator Agents Sedation medicine.medical_treatment Quadriplegia Critical Care and Intensive Care Medicine Cerebral vasospasm Internal medicine medicine.artery Angioplasty Basilar artery Humans Infusions Intra-Arterial Vasospasm Intracranial Medicine medicine.diagnostic_test business.industry Magnetic resonance imaging Vasospasm Syndrome Subarachnoid Hemorrhage medicine.disease Radiography Basilar Artery Cardiology Neurology (clinical) medicine.symptom business Angioplasty Balloon |
| Zdroj: | Neurocritical Care. 16:145-147 |
| ISSN: | 1556-0961 1541-6933 |
| DOI: | 10.1007/s12028-011-9655-z |
| Popis: | Cerebral 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. We report the case of a 43 years-old man with BAVS presenting as a reversible locked-in syndrome (LIS) after stopping sedation. The 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. LIS 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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