scholarly journals Simultaneous Brachial Diplegia and Rotational Vertigo due to Combined Spinal Anterior and Vertebrobasilar Embolism

2000 ◽  
Vol 43 (4) ◽  
pp. 240-242 ◽  
Author(s):  
M. Strupp ◽  
H. Brückmann ◽  
G.F. Hamann ◽  
R. Brüning ◽  
T. Brandt
1985 ◽  
Vol 231 (6) ◽  
pp. 345-346 ◽  
Author(s):  
R. Alberca ◽  
L. M. Iriarte ◽  
P. Rasero ◽  
F. Villalobos

2008 ◽  
Vol 9 (6) ◽  
pp. 566-569 ◽  
Author(s):  
Andrei F. Joaquim ◽  
Catherine C. Shaffrey ◽  
Charles A. Sansur ◽  
Christopher I. Shaffrey

The authors report a case of man-in-the-barrel (MIB) syndrome occurring after an extensive revision involving thoracoilium instrumentation and fusion for iatrogenic and degenerative scoliosis, progressive kyphosis, and sagittal imbalance. Isolated brachial diplegia is a rare neurological finding often attributed to cerebral ischemia. It has not been previously reported in patients undergoing complex spine surgery. This 70-year-old woman, who had previously undergone T11–S1 fusion for lumbar stenosis and scoliosis, presented with increased difficulty walking and with back pain. She had junctional kyphosis and L5–S1 pseudarthrosis and required revision fusion extending from T-3 to the ilium. In the early postoperative period, she experienced a 30-minute episode of substantial hypotension. She developed delirium and isolated brachial diplegia, consistent with MIB syndrome. Multiple studies were performed to assess the origin of this brachial diplegia. There was no definitive radiological evidence of any causative lesion. After a few days, her cognitive function returned to normal and she regained the ability to move her arms. After several weeks of rehabilitation, she recovered completely. Man-in-the-barrel syndrome is a rare neurological entity. It can result from various mechanisms but most commonly seems to be related to ischemia and is potentially reversible.


2006 ◽  
Vol 246 (1-2) ◽  
pp. 159-161 ◽  
Author(s):  
Masaki Naganuma ◽  
Yuichiro Inatomi ◽  
Toshiro Yonehara ◽  
Shodo Fujioka ◽  
Yoichiro Hashimoto ◽  
...  

2012 ◽  
Vol 45 (6) ◽  
pp. 900-904 ◽  
Author(s):  
Sahar F. Zafar ◽  
Eroboghene E. Ubogu

2012 ◽  
Vol 109 (3) ◽  
pp. 467-468 ◽  
Author(s):  
M. Gellerfors ◽  
H. Lundin ◽  
C.H. Svensen
Keyword(s):  

2021 ◽  
Vol 9 (8) ◽  
Author(s):  
Vlasta Cvetkovic ◽  
Rigmor Jensen

A 51-year-old man with no past medical history of headache or risk factors for vascular diseases was diagnosed with supraventricular tachycardia (SVT) in 2005. In 2014 SVT attacks were longer and always followed by severe headache attacks. Accompanying symptoms were dizziness, non-rotational vertigo, confusion, episodes of double vision and tinnitus; these symptoms would last one day, followed by severe tiredness for 2 days. Neurologic and cardiologic evaluation as well as extensive diagnostic test between the attacks was normal. Catheter coronarography showed no stenoses but did show spasms in distal left anterior descending artery. A remarkable effect on SVT and headaches was shown after the introducement of diltiazem. The diagnosis cardiac cephalalgia (CC) was established. As our case report is unique, we hope that our observations will help cardiologists and neurologists to better understand and treat patients with CC. CC should be distinguished from migraine, to avoid prescribing triptans and vasoconstrictors.


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