Differential Diagnosis and Management of Incomplete Locked-In Syndrome after Traumatic Brain Injury

Table 1

Examination findings.

Expressive communication	No verbalizations or facial gestures, able to establish communication via blinking, 75% accuracy regarding orientation
Visual tracking	All directions, nystagmus and ocular bobbing noted
Arousal/attention	Awake, alert, focused on examiner throughout
Auditory response	No motor response to commands except ocular
Object manipulation	No motor response or grasp reflex noted
Motor response	No head control, righting reactions, or protective extension. No withdrawal to pain.
Reflexes	VOR and pupillary light intact