Neurotrauma Reports (Sep 2020)

Locked-In Syndrome after Traumatic Basilar Artery Entrapment within a Clivus Fracture: A Case Report and Review of the Literature

  • Tjerk J. Lagrand,
  • Vincent A.J. Bruijnes,
  • A.M. Madelein Van der Stouwe,
  • Eric A. Deckers,
  • Aryan Mazuri,
  • Bram Jacobs

DOI
https://doi.org/10.1089/NEUR.2020.0015
Journal volume & issue
Vol. 1, no. 1
pp. 73 – 77

Abstract

Read online

We report the case of a 58-year-old male with a rare vascular complication after traumatic head injury: entrapment of the basilar artery into a fracture of the clivus, ultimately leading to a locked-in syndrome due to brainstem infarction. Review of the literature revealed 19 earlier published cases of basilar artery entrapment within traumatic longitudinal clival fractures. In the majority of these patients there is an unfavorable neurological outcome.

Keywords