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Complete T2-Fogging of Pontomedullary Infarction in Locked-In Syndrome
Authors:Simon Nagel  Christian Herweh  Aitziber Aleu Bonaut  Peter D Schellinger  Patricio Mellado
Institution:(1) Department of Neurology, University of Heidelberg, INF 400, 69120 Heidelberg, Germany;(2) Department of Neuroradiology, University of Heidelberg, Heidelberg, Germany;(3) Universitat Autònoma de Barcelona, Barcelona, Spain;(4) Department of Neurology, University of Erlangen, Erlangen, Germany;(5) Departemento de Neurologia, Pontificia Universidad Catolica de Chile, Santiago, Chile
Abstract:We report a patient who was treated with intravenous thrombolysis, and subsequently developed a Locked-In Syndrome (LIS). After 2 days, magnetic resonance imaging showed a large bilateral pontomedullary infarction. However, in contrast to the patient’s clinical situation, the follow-up T2-weighted MR images up to day 26 did not display the infarction. This phenomenon is known as the so-called fogging effect. An erratum to this article can be found at
Keywords:MRI  Stroke  Fogging
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