Locked-in syndrome: A rare manifestation of pediatric stroke.
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Date
2009-10
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Abstract
Locked-in syndrome is characterized by upper motor neuron quadriplegia, paralysis of lower cranial nerves, bilateral
horizontal gaze palsy and anarthria, with preserved consciousness. It is due to a ventral pontine lesion following a basilar
artery occlusion. We report the first Indian case report of locked-in syndrome, a 10-year old girl in whom the syndome was
preceded by a ‘herald hemiparesis’. Although the exact etiology for the basilar artery occlusion could not be determined,
treatment with low molecular weight heparin and warfarin was followed by partial recovery.
Description
Keywords
Basilar artery occlusion, Childhood stroke, Herald-hemiparesis, Hemiplegia, India
Citation
Juneja Monica, Jain Rahul, Singhal Swati, Mishra Devendra, Singh Sapna. Locked-in syndrome: A rare manifestation of pediatric stroke. Indian Journal of Pediatrics. 2009 Oct; 76(10): 1053-1055.