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.