Locked in syndrome

Case contributed by Dr Barbara Turi

Presentation

Tetraplegia, inability to speak, respiratory insufficiency which requires the use of mechanical ventilation; residual vertical eyes movement; intact cognitive functions.

Patient Data

Age: 65
Gender: Female
Modality: CT

CT without contrast allows to value hypodensity  as the result of a stroke of the brainstem.

CTA allows assessment of the cerebral vessels and in particularly the basilar artery.

Case Discussion

CT without contrast shows stroke as hypodensity of the ventral brainstem.

CTA of the cerebral vessels allows appreciation of the thrombosis of the basilar artery. Reference ROI is set on the aortic arch, with bolus tracking and the scan starts automatically when il reaches an intensity of 100 HU. 

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Case Information

rID: 24641
Case created: 1st Sep 2013
Last edited: 27th Sep 2015
Tag: crop
Inclusion in quiz mode: Excluded

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