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Locked-in syndrome after head and neck trauma

Department of Neurology, Los Angeles County-University of Southern California Medical Center, Los Angeles, CA.

Ten patients became locked-in after head and neck trauma. Five had a prompt onset due to either direct trauma or secondary infarction of the brainstem. A delay of 6 to 48 hours in four other patients was probably the interval between vertebral artery damage and vertebrobasilar arterial occlusion. The last patient sustained ischemia and compression of the cerebral peduncles from ten-torial herniation.

Address correspondence and reprint requests to Dr. Keane, 1200 N. State Street, Los Angeles, CA 90033.

Presented in part at the twenty-second annual meeting of the Federation of Western Societies of Neurological Science, San Diego, CA, February 1985.

Accepted for publication May 8, 1985.

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