TY - JOUR T1 - Transient total locked-in syndrome due to vertebral and basilar artery dissection JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2020-238912 VL - 14 IS - 2 SP - e238912 AU - Yuichiro Inatomi AU - Makoto Nakajima AU - Toshiro Yonahara Y1 - 2021/02/01 UR - http://casereports.bmj.com/content/14/2/e238912.abstract N2 - A 52-year-old woman suddenly presented with right conjugate eye deviation, anarthria and quadriplegia, and appeared to be in a deep coma. MRI revealed a new infarct in the left cerebellar hemisphere and stenosis in the distal portion of the basilar artery caused by arterial dissection. Her deficits improved within 6 hours of onset. Moreover, on day 1, she described that she had been alert and her vision, hearing and somatic sensation had been preserved during the illness. Total locked-in syndrome should be considered while assessing patients with total immobility who are unable to communicate. ER -