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Joseph S. Karp, MD; Howard I. Hurtig, MD

Arch Neurol. 1974;30(2):176-178.

Abstract
A fully conscious patient was quadriplegic and anarthric (locked-in); ocular movements were preserved. At autopsy, the lateral two thirds of both cerebral peduncles were infarcted secondary to thrombosis of the rostral basilar artery. The ventral pons was essentially intact. It is concluded that the locked-in state is not synonymous with the ventral pontine syndrome, as previously stated. Other anatomical locations must be considered when this syndrome is diagnosed clinically.

Author Affiliations
Philadelphia

From the Department of Neurology, University of Pennsylvania School of Medicine, Philadelphia.

Footnotes
Accepted for publication July 19, 1973.

Reprint requests to Department of Neurology, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia 19174 (Dr. Hurtig).

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