Posterior fossa subdural hematoma resulting in locked-in syndrome: case report.

[locked-in syndrome]

Locked-in syndrome (LIS ) is a well-known and devastating clinical entity , of which stroke is the most common cause ; the distant second , trauma , usually results in LIS from basilar artery dissection . Our case report describes a posterior fossa subdural hematoma causing LIS , likely by direct compression of neural structures , which is a unique etiology and prognosis compared with other causes .A 34 -year -old female experienced a posterior fossa subdural hematoma . She was taken emergently for evacuation , and on postoperative examination was found to be locked-in . The symptom complex , while classic for LIS , resolved at an accelerated rate compared with previous reports . Emergent evacuation of clot and rehabilitation were performed .Prompt treatment allowed this patient to experience an accelerated and more complete recovery compared with the ischemic causes of LIS .