• Br J Anaesth · Feb 2004

    Case Reports

    Locked-in syndrome: a catastrophic complication after surgery.

    • P Breen and V Hannon.
    • Department of Anaesthesia Intensive care and Pain Management, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. patrickbreen@eircom.net
    • Br J Anaesth. 2004 Feb 1; 92 (2): 286-8.

    AbstractWe describe the locked-in syndrome in a 31-yr-old patient after right upper lobectomy for suspected metastasis. After surgery, vertical eye movement was her only means of communication. She remained in a 'locked-in' state for 7 months before dying. Post-mortem examination showed extensive metastatic tumour deposition in the ventral pons. We discuss the clinical features of this syndrome and factors that may affect onset, diagnosis and management.

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