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NEUROLOGY 1985;35:1647
© 1985 American Academy of Neurology

Locked-in syindrome due to tentorial herniation

James R. Keane, MD and Hideo H. Itabashi, MD

From the Department of Neurology, LAC-USC Medical Center, and the Departments of Neurology and Pathology, Harbor-UCLA Medical Center, Los Angeles, CA.

A 28-year-old man had a chronic locked-in syndrome following tentorial herniation caused by an epidural hematoma. Postmortem examination revealed bilateral corticospinal tract degeneration caudal to the midbrain, with infarction of the right internal capsule just rostra1 to the cerebral peduncle and pressure necrosis of the pyramidal portion of the left cerebral peduncle.

Address correspondence and reprint requests to Dr. Keane, 1200 North State Street, Los Angeles, CA 90033.

Accepted for publication March 4, 1985






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