Too Aggressive Drop in Blood Pressure in a Hypertensive Male Leading to “Man-in-the-Barrel Syndrome”
المؤلفون المشاركون
Dalugama, Chamara
Jayasinghe, Achila
Abeygunawardena, Shamali
Ralapanawa, Udaya
Jayalath, Thilak
المصدر
Case Reports in Neurological Medicine
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-09-24
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Introduction.
“Man-in-the-barrel syndrome” is a neurological phenotype with brachial diplegia, normal sensation, and preserved motor function of the lower limb.
It has been described in various neuropathological conditions affecting the cerebral hemispheres, pons, upper spinal cord, and peripheral neurons.
Severe hypotension leading to watershed infarctions leading to this phenotype has been reported.
We describe the first case of “man-in-the-barrel syndrome” in a patient with a precipitous drop in blood pressure following oral antihypertensive medications.
Case Presentation.
A 75-year-old Sri Lankan male presented following a generalized tonic-clonic seizure to a tertiary care hospital.
Upon recovery, he was noted to have severe brachia diplegia affecting shoulder movements with preserved hand muscle power and motor functions of the lower limb.
The previous day, he was newly diagnosed with markedly elevated blood pressure without acute end organ involvement.
Treatment with three antihypertensives had been initiated.
Noncontrast CT of the brain revealed watershed infarctions affecting both cerebral hemispheres.
Conclusion.
It is generally unwise to lower blood pressure very rapidly, as ischemic damage can occur in vascular beds that are habituated to high levels of blood pressure in the brain.
Ischemic damage caused by rapid lowering of blood pressure may rarely result in “man-in-the-barrel syndrome” leading to severe functional disability.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Dalugama, Chamara& Jayasinghe, Achila& Ralapanawa, Udaya& Abeygunawardena, Shamali& Jayalath, Thilak. 2020. Too Aggressive Drop in Blood Pressure in a Hypertensive Male Leading to “Man-in-the-Barrel Syndrome”. Case Reports in Neurological Medicine،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148998
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Dalugama, Chamara…[et al.]. Too Aggressive Drop in Blood Pressure in a Hypertensive Male Leading to “Man-in-the-Barrel Syndrome”. Case Reports in Neurological Medicine No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1148998
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Dalugama, Chamara& Jayasinghe, Achila& Ralapanawa, Udaya& Abeygunawardena, Shamali& Jayalath, Thilak. Too Aggressive Drop in Blood Pressure in a Hypertensive Male Leading to “Man-in-the-Barrel Syndrome”. Case Reports in Neurological Medicine. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148998
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1148998
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر