“桶中人”综合征：心脏骤停后双侧手臂麻痹1例报告
'Man-in-the-barrel' syndrome: a case report of bilateral arm paresis following cardiac arrest.
作者信息
Riyaz Romana, Usaid Syed A, Arram Niharikha, Khatroth Sumalatha, Shah Pranita, Shrestha Abhigan B
机构信息
Shadan Institute of Medical Sciences and Research.
Apollo Institute of Medical Sciences and Research.
出版信息
Ann Med Surg (Lond). 2023 Feb 8;85(3):435-438. doi: 10.1097/MS9.0000000000000135. eCollection 2023 Mar.
UNLABELLED
'Man-in-the-barrel syndrome' (MIBS) is a neurological phenotype with brachial diplegia, normal sensation, and preserved motor function of the lower limb. Severe hypotension leading to watershed infarctions leading to this phenotype has been reported. The pathogenesis of MIBS is believed to be cerebral hypoperfusion leading to border zone infarctions between the territories of the anterior and middle cerebral arteries.
CASE REPORT AND DISCUSSION
A 49-year-old chronic alcoholic hypertensive Indian male was evaluated for barrel syndrome after a cardiac arrest. MRI confirmed hyperintensities between the territories of the anterior and middle cerebral arteries bilaterally.
CONCLUSION
Person in barrel syndrome is a rare neurological syndrome. MIB is common after cerebral hypoperfusion and carries a poor prognosis. Identification of the underlying cause is important because the management and prognosis vary based on the etiology.
未加标注
“桶中人综合征”（MIBS）是一种具有臂部双瘫、感觉正常以及下肢运动功能保留的神经表型。据报道，严重低血压导致分水岭梗死可引发此表型。MIBS的发病机制被认为是脑灌注不足导致大脑前动脉和大脑中动脉供血区域之间的边缘带梗死。
病例报告与讨论
一名49岁患有慢性酒精性高血压的印度男性在心脏骤停后接受了桶状综合征评估。MRI证实双侧大脑前动脉和大脑中动脉供血区域之间存在高信号。
结论
桶中人综合征是一种罕见的神经综合征。脑灌注不足后MIB很常见，且预后不良。识别潜在病因很重要，因为治疗和预后会因病因不同而有所差异。
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