[Recovery from locked-in syndrome: rule rather than exception]. / Herstel na locked-insyndroom.
Ned Tijdschr Geneeskd
; 1682024 07 25.
Article
en Nl
| MEDLINE
| ID: mdl-39087435
ABSTRACT
The prognosis for locked-in syndrome after acquired brainstem injury is unfavourable. However, partial recovery of motor function occurs in many patients and benefits from intensive rehabilitation. Here we evaluate two patient cases and results of a questionnaire among medical doctors specialised in rehabilitation. We define bottlenecks in the treatment of acute locked-in syndrome in the ICU. Locked-in patients have a years-long life expectancy once they have survived the acute phase. There is no validated prognostic instrument to predict recovery, but even small neurological recovery can have large functional benefits. Recovery may take place over an extended period of time, up to years after onset. To unlock the potential to recover we recommend to start with early rehabilitation while the patient is still in the ICU on life sustaining treatment This may set the patient off along the road from locked-in to unlocked.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Recuperación de la Función
/
Síndrome de Enclaustramiento
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Año:
2024
Tipo del documento:
Article