Involuntary motor phenomena in the locked-in syndrome
β Scribed by G. Bauer; F. Gerstenbrand; W. Hengl
- Book ID
- 104717617
- Publisher
- Springer
- Year
- 1980
- Tongue
- English
- Weight
- 745 KB
- Volume
- 223
- Category
- Article
- ISSN
- 0340-5354
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β¦ Synopsis
Several involuntary movements were observed in patients who were totally immobile except for vertical gaze due to bilateral pyramidal transverse lesion at the pontine or midbrain level. In those conscious locked-in patients extensor spasms and flexor spasms could be elicited by nonspecific stimulation. Mimic pain reactions, pathological crying, and primordial screaming ("cat crying') were also noted. Other motor patterns were whining, moaning, groaning, sighing, and yawning. The pathophysiological implications of these observations are discussed.
π SIMILAR VOLUMES
Two young patients are described who made good recoveries from a "locked-in" syndrome presumed to be due to ventral pontine ischemia. The first patient recovered completely from quadriplegia and mutism. In the second patient the only permanent sequellae were slight dysarthria and mild spasticity. Si