Vitrey M, Aimard G, Devic M
Ann Anesthesiol Fr. 1977;18(1):119-24.
Five cases of neurological disorders occurring after extra-corporeal circulation are presented owing to the singular nature of the clinical picture made up by the essential element of a progressive brachial diplegia, free from any sensory disorder. The topography of the lesion--single medullary lesion or bilateral encephalic--is discussed. An anatomic document enables the elimination of any médullary involvement in one of the cases, thus pointing to a bilateral central lesion. The physiopathological problems are looked at.
本文报告了5例体外循环后出现的神经功能障碍病例,这些病例具有独特的临床表现,主要表现为进行性臂部双侧瘫,无任何感觉障碍。文中讨论了病变的部位——单一的脊髓病变或双侧脑部病变。一份解剖学资料排除了其中1例存在脊髓受累的情况,从而表明为双侧中枢性病变。文中还探讨了生理病理学问题。