List of people with locked-in syndrome

Jean-Dominique Bauby

French journalist Jean-Dominique Bauby suffered a stroke in December 1995. When he awoke 20 days later, he found his body was almost completely paralyzed; he could control only his left eyelid (as the other was sewn shut to prevent an infection). By blinking this eye, he slowly dictated one alphabetic character at a time and, in so doing, was able over a great length of time to write his memoir, The Diving Bell and the Butterfly; the memoir was adapted to the screen in a namesake 2007 movie. Three days after the book was published in March 1997, Bauby died from pneumonia.[1] He was instrumental in forming the Association du Locked in Syndrome (ALIS) in France.[2]

Rabbi Ronnie Cahana

In the summer of 2011, Rabbi Ronnie Cahana of Congregation Beth-El in Montréal suffered a severe brainstem stroke that left him in a locked-in state, able to communicate only with his eyes. With his family's help he continued to write poems and sermons for his congregation, letter by letter, by blinking. He has since regained his ability to breathe by himself and speak. He describes his experiences as a blessing and a spiritual revelation of body and mind.[3] His story was told in a Ted Talk given by his daughter called "My father, locked in his body but soaring free". He is the son of painter Alice Lok Cahana.[4]

Nick Chisholm

27-year-old Nick Chisholm of Dunedin, New Zealand, brother of Survivor NZ host Matt Chisholm, suffered a series of mini-strokes, culminating in a massive brainstem stroke during a rugby game on July 29, 2000. He has since recovered some muscle usage, and has become a body-builder and a personal trainer for other disabled people. On March 26, 2020, his wife Nicola gave birth to triplets, conceived with Nick via IVF.[5][6]

Stephen Hawking

Stephen Hawking had a progressive motor neuron disease related to amyotrophic lateral sclerosis (ALS) that began developing in the early 1960s. He was almost entirely paralyzed and communicated using a speech generating device. In 2005, as the disease progressed, he began to control his communication device with movements of his cheek muscles,[7][8][9] with a rate of about one word per minute.[8] Hawking collaborated with researchers on systems that could translate his brain patterns or facial expressions into switch activations.[9][10][11]

Rom Houben

In 1983, Rom Houben survived a near-fatal car crash and was diagnosed as being in a vegetative state. Twenty-three years later, using "modern brain imaging techniques and equipment", doctors revised his diagnosis to locked-in syndrome.[12] He was initially reported as communicating by typing into a keyboard with his right hand,[13] though the presence of a facilitator to move his hand attracted sharp criticism and strong doubts that Houben's communications were authentic.[14][15][16]

In early 2010, Dr. Steven Laureys, Houben's neurologist, admitted that subsequent tests had demonstrated Houben had not actually been communicating via the facilitator, and Der Spiegel, which had originally "quoted" many of Houben's facilitated statements, retracted those quotes as being inauthentic.[17] Laureys maintained the MRI data that had led him to diagnose Houben as locked-in still suggested he was conscious.

Houben's case had been thought to call into question the current methods of diagnosing vegetative state and arguments against withholding care from such patients.[12][18]

Elias Musiris

In 2002, Elias Musiris made headlines as the first fully locked-in patient to regain some measure of communication through EEG. Though ALS had left Musiris unable even to move his eyes or blink, training from neurological researcher Niels Birbaumer taught him to use an EEG brain-machine interface to answer yes-or-no questions and spell his name.[19]

Tony Nicklinson

Tony Nicklinson was born on 2 April 1954. Nicklinson was a rugby union player and a successful civil engineer. The 58 year old was paralyzed from the neck down after suffering a stroke in 2005. He was not able to speak or move any parts of his body apart from his head and eyes. He had spent two-and-a-half years undergoing therapy in a hospital before moving home in a wheelchair to be cared by his wife, Jane, and his two teenage daughters Lauren and Beth. He described his life as a "living nightmare".

Nicklinson attempted to seek a landmark ruling in the British courts which would have allowed him the right to an assisted death, but he lost the case in the High Court.[20] He eventually died on 20 August 2012 at his home in Melksham, Wiltshire by refusing food. His family continued his case after his death, before it was ultimately rejected in the Supreme Court.[21]

Gary Parkinson

In 2010, ex-Premiership footballer Gary Parkinson suffered a massive stroke and was later diagnosed with locked-in syndrome.[22] This, however, has not ended his career in football, as he is now part of Middlesbrough F.C.'s scouting analysis team, watching potential players on DVD and relaying the verdict to the Middlesbrough manager Tony Mowbray solely through blinking.[23]

Martin Pistorius

Martin Pistorius began developing locked-in syndrome when he was 12 years old. He went into a coma for 2–3 years, after which point he slowly regained consciousness but was unable to communicate this to others until he was around 19 years of age. Now capable of some movement and able to communicate with a speech computer, Pistorius currently works as a freelance web designer/developer and has published a book about his life entitled Ghost Boy.[24][25][26]

Tony Quan, aka Tempt One

Tony Quan, a popular graffiti artist, was diagnosed with the nerve disorder ALS in 2003, which eventually left him fully paralyzed except for his eyes. Quan uses the technology called EyeWriter to communicate his art and has since had his work displayed in numerous art shows nationally.[27][28]

Erik Ramsey

In 1999, 16-year-old Erik Ramsey suffered a stroke after a car accident that left him in a locked-in state. His story was profiled in an edition of Esquire magazine in 2008.[29] Ramsey is currently working with doctors to develop a new communication system that uses a computer that, through implants in his brain, reads the electronic signals produced when he thinks certain words and sounds. At present, Ramsey is only able to communicate short and basic sounds. However, doctors believe, within a few years, Ramsey will be able to use this system to communicate words and phrases, and eventually, to "talk" normally.[29][30][31]

Julia Tavalaro

In 1966, Julia Tavalaro, then aged 32, suffered two strokes and a brain hemorrhage and was sent to Goldwater Memorial Hospital on Roosevelt Island, New York. For six years, she was believed to be in a vegetative state. In 1972, a family member noticed her trying to smile after she heard a joke. After alerting doctors, a speech therapist, Arlene Kratt, discerned cognizance in her eye movements. Kratt and another therapist, Joyce Sabari, were eventually able to convince doctors she was in a locked-in state. After learning to communicate with eye blinks in response to letters being pointed to on an alphabet board, she became a poet and author.

Eventually, she gained the ability to move her head enough to touch a switch with her cheek, which operated a motorized wheelchair and a computer. She gained national attention in 1995 when Richard E. Meyer of the Los Angeles Times published a cover story about Tavalaro. In 1997, Erika Duncan's profile of Tavalaro and her co-author Richard Tayson, "Decades After Silence, a Voice Is Recognized," ran in the Long Island edition of The New York Times[32] and in April 1997, "The Long Road Home" appeared in Newsday.[33] Tavalaro appeared with Richard Tayson on Dateline NBC and Melissa Etheridge's Beyond Chance. Their book was published by Viking Penguin in 1998 and was translated into German, where it was published as Bis auf den Grund des Ozeans by Verlag Herder. Tavalaro's story became a bestseller in Germany. She died on December 19, 2003 at the age of 68.[29][34]

Cases in literature

The Count of Monte Cristo

The character of M. Noirtier de Villefort in Alexandre Dumas' novel The Count of Monte Cristo (1844) apparently suffers from locked-in syndrome. He is described as a "corpse with living eyes", who communicates with eye movements and expressions. His granddaughter Valentine helps him form sentences by reciting the alphabet and scanning dictionary pages with her finger until he indicates which letters and words he wants.

A Song of Ice and Fire

In the first novel A Game of Thrones, the character Khal Drogo succumbs into a vegetative state after suffering sepsis countered by blood magic, resulting in complete paralysis. Though he is able to move his eyes along the orbit of the sun, he is implied to be blind and that he can sense it only because of the heat. His wife, Daenerys, ultimately suffocates him out of pity.

Thérèse Raquin

In Émile Zola's novel Thérèse Raquin (1867), Thérèse Raquin and her second husband Laurent accidentally reveal to Thérèse's aunt, Madame Raquin (who has suffered from locked-in syndrome after a stroke), that they have murdered Camille Raquin (Madame Raquin's son). One day, when some friends are over, Madame Raquin eventually musters an enormous amount of strength to move her finger on a table, tracing words that would reveal Thérèse and Laurent's deed. However, she is interrupted, and her words are misinterpreted as "Thérèse and Laurent have taken good care of me".

Johnny Got His Gun

Johnny Got His Gun (1938) is a novel by American author and screenwriter Dalton Trumbo, which describes a young American soldier who loses both his arms, his legs, and his face in World War I. This novel portrays "how it might feel to be totally locked-in", but it is not a true case of "locked-in syndrome", according to the WHO definition. Johnny attempts to communicate with the outside world using Morse code through banging his head on his pillow and weakly chanting (in his mind) "SOS Help me".

The Ultimate Secret

The character of Jean-Louis Martin in Bernard Werber's sci-fi novel L'Ultime Secret (2001),[35] suffers from locked-in syndrome after being paralyzed in a car accident. Able at first only communicate by blinking – once for "Yes" and twice for "No" – with the use of high tech, he eventually gains control not only over his own mind, but that of others.[36]

Locked In

Sharon McCone, the protagonist of Marcia Muller's suspense novel Locked In (2009), is the founder of a successful San Francisco detective agency. On returning to her office late one night, she is shot in the head. She wakes up in a hospital able to move only her eyes, forced to struggle to rehabilitate herself while finding the attacker.[37]

Sleepyhead

Mark Billingham's novel Sleepyhead (2013)[38] addresses a criminal who purposely manipulates pressure points on each victim's head and neck with the intention of inducing locked-in syndrome.[39]

The Diving Bell and the Butterfly

The book The Diving Bell and the Butterfly is a memoir by journalist Jean-Dominique Bauby. It describes what his life is like after suffering a massive stroke that left him with locked-in syndrome. It also details what his life was like before the stroke.[40]

Lock In

John Scalzi's science fiction police procedural Lock In is based on a society where large numbers have the locked-in-like Haden's Syndrome due to a pandemic, and are able to interact with the world through BCI-controlled bodies.[41]

Lamikorda

In D. R. Merrill's 2014 science-fiction novel, the Alplai virologist and epidemiologist Gihuunak appears to have a form of locked-in syndrome, being confined to a motorized wheelchair and using a speech computer to communicate.[42]

The 100

In season 6, episode 4 of The 100, titled "The Face Behind the Glass," the main character (Clarke Griffin) is shot in the neck with a paralytic dart, resulting in a locked-in state in which she was able to move only her eyes voluntarily.[43]

Alfred Hitchcock Presents

In season 1, episode 7 of Alfred Hitchcock Presents, titled "Breakdown" (November 13, 1955 on CBS),[44] the sole survivor of a violent collision (Joseph Cotten) finds himself in a locked-in state, unable even to move an eyelid. The viewer experiences the victim's point of view, "hearing" his thoughts and feelings as they run from shock to anger to frustration to the realization that he may be put in his grave alive.[45]

Breaking Bad

Hector Salamanca, a character on Breaking Bad and Better Call Saul, was left paralyzed after suffering a stroke. Initially unable to move any part of his body, he later gained use of his right index finger and rang a bell attached to his wheelchair to communicate.[46]

Criminal Minds

In the Criminal Minds episode "The Uncanny Valley", the unsub Samantha Malcolm induces locked-in syndrome using a series of drugs in three women. Her reason is she is trying to complete a series of dolls she lost as a young girl. Every two months, a woman will die as the stress wreaks havoc on the body. Only one woman, who has diabetes, is able to counteract the drugs and fight off her locked-in syndrome. The episode "To Bear Witness" also use locked-in syndrome after a man falls into locked-in syndrome after surviving a botched lobotomy and communicates to Derek (Shemar Moore) through blinks.[47]

CSI: New York

The CSI: NY episode "Blink" presented an instance of locked-in syndrome wherein a woman (portrayed by Jewel Christian) was sedated by the killer, who applied pressure to certain points on her head, resulting in her paralysis. The killer's previous attempts resulted in his victims' dying.

House M.D.

The House M.D. episode "Locked In" presented a case of locked-in syndrome, which later turned into a case of total locked-in syndrome; the patient was portrayed by Mos Def.[48]

Scrubs

In the Scrubs episode "His Story III", a patient (played by Henry LeBlanc) is presented with locked-in syndrome.

Star Trek

In the Star Trek episode "The Menagerie", Star Fleet captain Christopher Pike (played by Jeffrey Hunter when healthy, and Sean Kenney when injured) is severely burned, completely paralyzed, and can communicate only by brain waves; he can operate an electrical wheelchair and can answer yes/no questions by "one flash for yes, two flashes for no". This episode aired in November 1966; the first actual such interface was done by Fetz at the University of Washington in 1969, as noted in brain–computer interface.

Ted Talks

On the Ted Talk website a talk was posted about the story of one family's journey with a brainstem stroke called: "My Father, Locked-in his Body but Soaring Free". Another talk was given about graffiti artist TEMPT and the open source eye tracking device that was developed for him by his friends. "The Invention That Unlocked A Locked In Artist"

Calvary

In Calvary (2014 film) Dr. Frank Harte (Aidan Gillen) tells Father James (Brendan Gleeson) a horrifying story about a small child rendered deaf, mute, paralyzed and blind after botched anaesthesia, and contemplates the ineffable terror of such sensory isolation.

References

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  3. "Rabbi Ronnie Cahana". Retrieved November 22, 2018.
  4. Rincon, Marialuisa (December 8, 2017). "Alice Lok Cahana, artist and Holocaust survivor, dies at 88". My San Antonio. Retrieved November 22, 2018.
  5. Caldwell, Olivia (June 9, 2019). "A stroke on the rugby field left Nick Chisholm with the life-changing syndrome that would have killed most". Stuff.co.nz.
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