Conclusion
Brainstem ischemic syndrome is a rare and under-recognized entity of
unknown origin, occurring in teenagers without any previously known NF2
diagnosis. The adolescents suffer from cranial nerve palsy, dysarthria,
hemiparesis, or a locked-in syndrome. The clinical context and MRI
provide the diagnosis. So, it’s essential to consider this syndrome in
NF2 patients and not only tumors as predisposed by NF2. Aspirin can be
employed. The prognosis is variable ranging from full remission to
persistent locked-in syndrome.