Locked-in syndrome: a catastrophic complication after surgery

被引：10

作者：

Breen, P ^{[1
]}

Hannon, V ^{[1
]}

机构：

[1] St Vincents Univ Hosp, Dept Anaesthesia Intens Care & Pain Management, Dublin 4, Ireland

来源：

BRITISH JOURNAL OF ANAESTHESIA | 2004年 / 92卷 / 02期

关键词：

brain; ventral pons; complications; cranial nerve palsy; postoperative neurological deficit; synovial sarcoma; tetraplegia;

D O I：

10.1093/bja/aeh034

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

We describe the locked-in syndrome in a 31-yr-old patient after right upper lobectomy for suspected metastasis. After surgery, vertical eye movement was her only means of communication. She remained in a 'locked-in' state for 7 months before dying. Post-mortem examination showed extensive metastatic tumour deposition in the ventral pons. We discuss the clinical features of this syndrome and factors that may affect onset, diagnosis and management.

引用

页码：286 / 288

页数：3

共 16 条

[1]

CENTRAL PONTINE MYELINOLYSIS - A HITHERTO UNDESCRIBED DISEASE OCCURRING IN ALCOHOLIC AND MALNOURISHED PATIENTS [J].

ADAMS, RD ;

VICTOR, M ;

MANCALL, EL .

ARCHIVES OF NEUROLOGY AND PSYCHIATRY, 1959, 81 (02) :154-172

[2]

Synovial sarcoma in children: Surgical lessons from a single institution and review of the literature [J].

Andrassy, RJ ;

Okcu, MF ;

Despa, S ;

Raney, RB .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2001, 192 (03) :305-313

[3]

Comparison of transcranial Doppler ultrasonography and transesophageal echocardiography to monitor emboli during coronary artery bypass surgery [J].

Barbut, D ;

Yao, FS ;

Hager, DN ;

Kavanaugh, P ;

Trifiletti, RR ;

Gold, JP .

STROKE, 1996, 27 (01) :87-90

[4]

LOCKED-IN SYNDROME CAUSED BY A TUMOR [J].

CHERINGTON, M ;

STEARS, J ;

HODGES, J .

NEUROLOGY, 1976, 26 (02) :180-182

[5]

BRAIN-STEM TOXICITY WITH REVERSIBLE LOCKED-IN SYNDROME AFTER INTRASCALENE BRACHIAL-PLEXUS BLOCK [J].

DURRANI, Z ;

WINNIE, AP .

ANESTHESIA AND ANALGESIA, 1991, 72 (02) :249-252

[6]

FOX C, 1991, NEUROSCI NURS, V23, P287, DOI DOI 10.1097/01376517-199110000-00003

[7]

LOCKED-IN SYNDROME - OCCURRENCE AFTER CORONARY-ARTERY BYPASS GRAFT-SURGERY [J].

KENNY, DJ ;

LUKE, DA .

ANAESTHESIA, 1989, 44 (06) :483-484

[8]

PSYCHOMIMETIC REACTIONS AFTER NEUROLEPT AND PROPOFOL ANESTHESIA [J].

LINNEMANN, MUS ;

GULDAGER, H ;

NIELSEN, J ;

IBSEN, M ;

HANSEN, RW .

ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1993, 37 (01) :29-32

[9]

RECOVERY FROM THE LOCKED-IN SYNDROME [J].

MCCUSKER, EA ;

RUDICK, RA ;

HONCH, GW ;

GRIGGS, RC .

ARCHIVES OF NEUROLOGY, 1982, 39 (03) :145-147

[10]

LOCKED-IN SYNDROME CAUSED BY A SOLITARY PONTINE ABSCESS [J].

MURPHY, MJ ;

BRENTON, DW ;

ASCHENBRENER, CA ;

VANGILDER, JC .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1979, 42 (11) :1062-1065

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