Locked-in syndrome resulting from cervical spine gunshot wound

Lynn F. Fitzgerald, Richard K. Simpson, Todd Trask

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

A patient sustained a cervical spine gunshot wound resulting in immediate quadriplegia and obstruction of both vertebral arteries. After an 8-hour delay, basilar artery thrombosis occurred and resulted in locked-in syndrome. Bilateral occlusion of the vertebral arteries after penetrating cervical trauma has not been reported previously. The incidence and treatment of traumatic basilar thrombosis and locked-in syndrome is reviewed. Rapid diagnosis of ascending thrombosis and prompt treatment with hyperdynamics and anticoagulation may improve outcome.

Original languageEnglish (US)
Pages (from-to)147-149
Number of pages3
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume42
Issue number1
DOIs
StatePublished - Jan 1 1997

Keywords

  • Basila thrombosis
  • Quadraplegia
  • Trauma
  • Vertebral artery injury

ASJC Scopus subject areas

  • Surgery

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