MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient has a lesion affecting the pons, resulting in paralysis and the inability to speak, but has vertical eve movements and lid elevation. This patient is suffering from ____
A
locked-in syndrome
B
respiratory failure
C
aspiration
D
pneumonia
Explanation: 

Detailed explanation-1: -Individuals with locked-in syndrome classically cannot consciously or voluntarily chew, swallow, breathe, speak, or produce any movements other than those involving the eyes or eyelids. Some affected individuals can move their eyes up and down (vertically), but not side-to-side (horizontally).

Detailed explanation-2: -The locked-in syndrome is caused by an insult to the ventral pons, most commonly an infarct, haemorrhage, or trauma. The characteristics of the syndrome are quadriplegia and anarthria with preservation of consciousness. Patients retain vertical eye movement, facilitating non-verbal communication.

There is 1 question to complete.