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按Plum等所描述,闭锁(Locked-in)综合征有四个主要表现:四肢瘫痪;保存眼睑和垂直的眼球运动;缄默症;神志清醒,病人只能通过瞬目或垂直的眼球运动来表达意志.自1966年以来,已有不少病例报导.虽然早期报导认为此病都将死亡,但新近报导则有许多存活病人,且神经功能可有不同程度的恢复.最常见的病变是桥脑腹侧缺血性损害.本文报导1例头、颈部轻度外伤后引起的闭锁综合征,经动脉造影证实为在左椎动脉起始处远端1厘米处闭塞,基底动脉未显影.经抗凝治疗和相应的护理,病人基本恢复正常.
As described by Plum et al., Locked-in syndrome has four main manifestations: paralysis of the limbs; preservation of the eyelids and vertical eye movements; mutism; consciousness; patients can only be expressed by blinking or vertical eye movements Since 1966, there have been many cases reported.Although early reports that the disease will die, but recently reported that there are many survivors, and nerve function may have varying degrees of recovery.The most common lesion is the pons Ventral ischemic injury.This article reports 1 case of head and neck atypical trauma caused by atresia syndrome, confirmed by arteriography at the beginning of the left vertebral artery 1 cm distal occlusion, the basilar artery was not developed. Anticoagulant therapy and the corresponding care, the patient returned to normal.