The case reported brings the discussion about the Imprisonment Syndrome, a rare neurological disease, characterized by complete paralysis of all voluntary muscles, with the exception, usually, of those that control the eyes, presented by a 55-year-old patient after an episode of Vascular Accident. Ischemic Cerebral Stroke (CVA). With involvement of the basilar artery, the patient manifests anarthria and follows individualized treatment. The information was obtained from a review of medical records and literature.