{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:13:39Z","timestamp":1767676419212,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,2]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2020-238912","type":"journal-article","created":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T11:36:17Z","timestamp":1613993777000},"page":"e238912","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Transient total locked-in syndrome due to vertebral and basilar artery dissection"],"prefix":"10.1136","volume":"14","author":[{"given":"Yuichiro","family":"Inatomi","sequence":"first","affiliation":[{"name":"Department of Neurology, Saiseikai Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Nakajima","sequence":"additional","affiliation":[{"name":"Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiro","family":"Yonahara","sequence":"additional","affiliation":[{"name":"Department of Neurology, Saiseikai Kumamoto Hospital, Kumamoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,2,22]]},"reference":[{"key":"2025082707124882000_14.2.e238912.1","first-page":"24","article-title":"Mortality and complications of the locked-in syndrome","volume":"68","author":"Haig","year":"1987","journal-title":"Arch Phys Med Rehabil"},{"key":"2025082707124882000_14.2.e238912.2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00313105"},{"key":"2025082707124882000_14.2.e238912.3","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.17.4.758"},{"key":"2025082707124882000_14.2.e238912.4","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1016\/S0140-6736(77)90392-0","article-title":"Transitory, post-traumatic \"locked-in\" syndrome","volume":"2","author":"Marti-Vilalta","year":"1977","journal-title":"Lancet"},{"key":"2025082707124882000_14.2.e238912.5","doi-asserted-by":"crossref","first-page":"476","DOI":"10.2169\/internalmedicine.33.476","article-title":"Locked-in syndrome and abnormal orientation of the right vertebral artery in a young man","volume":"33","author":"Fujiyama","year":"1994","journal-title":"Intern Med"},{"key":"2025082707124882000_14.2.e238912.6","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s12028-011-9655-z","article-title":"Transient locked-in syndrome and basilar artery vasospasm","volume":"16","author":"Lacroix","year":"2012","journal-title":"Neurocrit Care"},{"key":"2025082707124882000_14.2.e238912.7","doi-asserted-by":"crossref","first-page":"909.e7","DOI":"10.1016\/j.jstrokecerebrovasdis.2011.10.016","article-title":"Transient total mesencephalic locked-in syndrome after bilateral ptosis due to basilar artery thrombosis","volume":"21","author":"Fujimoto","year":"2012","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"2025082707124882000_14.2.e238912.8","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1016\/j.wneu.2019.03.163","article-title":"Transient incomplete locked-in syndrome secondary to supratentorial gunshot wound","volume":"126","author":"Horan","year":"2019","journal-title":"World Neurosurg"},{"key":"2025082707124882000_14.2.e238912.9","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199307000-00012"},{"key":"2025082707124882000_14.2.e238912.10","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.neucli.2008.11.003","article-title":"Transient post-traumatic locked-in syndrome: a case report and a literature review","volume":"39","author":"Carrai","year":"2009","journal-title":"Neurophysiol Clin"},{"key":"2025082707124882000_14.2.e238912.11","doi-asserted-by":"publisher","DOI":"10.1080\/02699050110119781"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-238912","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:12:56Z","timestamp":1756303976000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-238912"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,2,22]]},"published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1136\/bcr-2020-238912"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-238912","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,2]]}}}