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British Journal of Anaesthesia, 2004, Vol. 92, No. 2 286-288
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Locked-in syndrome: a catastrophic complication after surgery{dagger}

P. Breen* and V. Hannon

Department of Anaesthesia Intensive care and Pain Management, St Vincent’s University Hospital, Elm Park, Dublin 4, Ireland

*Corresponding author: Intensive Care Unit, Middlesex Hospital, Mortimer Street, London W1T 8AA, UK. E-mail: patrickbreen@eircom.net
{dagger}Presented on 16 May 1997 at the Annual Scientific Meeting, Royal College of Anaesthetists, Royal College of Surgeons in Ireland, Dublin, Ireland.

We 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.

Br J Anaesth 2004; 92: 286–8


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Volume 100: Case reports: should they be confined to the dustbin?
Br. J. Anaesth., June 1, 2008; 100(6): 744 - 746.
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