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Multiple Choice
Which posterior artery occlusion is most commonly responsible for causing locked-in syndrome?
A
Basilar artery
B
Vertebral artery
C
Anterior spinal artery
D
Posterior cerebral artery
Verified step by step guidance
1
Understand the concept of locked-in syndrome: It is a neurological condition characterized by complete paralysis of voluntary muscles except for those controlling eye movement. It is typically caused by damage to the brainstem, particularly the pons.
Identify the role of the basilar artery: The basilar artery supplies blood to the pons, which is a critical structure in the brainstem. Occlusion of this artery can lead to ischemia and damage to the pons, resulting in locked-in syndrome.
Compare the basilar artery to other options: The vertebral artery, anterior spinal artery, and posterior cerebral artery supply different regions of the brain and spinal cord. While they are important, they are not primarily responsible for locked-in syndrome as they do not directly supply the pons.
Recognize the anatomical significance of the basilar artery: The basilar artery is formed by the union of the vertebral arteries and runs along the brainstem. Its occlusion can disrupt communication between the brain and the rest of the body, leading to locked-in syndrome.
Conclude that the basilar artery is the most commonly responsible artery for locked-in syndrome due to its direct involvement in supplying the pons, which is the affected area in this condition.