[Non-ischemic borderline brachial paralysis].
Non ischemic anterior borderzone brachial paralysis. Anterior borderzone brachial paralysis (ABBP) is a hemodynamic ischemic syndrome of the watershed zone between the anterior and middle cerebral arteries. Two cases of non ischemic reversible ABBP are reported. The first suffered from multiple sclerosis; a CT-scan showed a lesion of the corona radiata, at the level of the anterior hemispheric borderzone. The second suffered from lung adenocarcinoma. A CT-scan showed multiple metastases, one being surrounded with oedema at the level of the anterior borderzone. According to its reversibility, the ABBP was reported to the inflammatory-oedematous reaction and not to a demyelinating or metastatic lesion itself. As ABBP may occur unilaterally, the name "one-armed man syndrome" should be used instead of "man-in-the-barrel syndrome" (which always implies a bilateral paralysis).
De Smet
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Y
Clinique Saint-Louis, Hôpital Régional du Nord, Ettelbruck, Grand-Duché de Luxembourg.
D000328:Adult; D001917:Brachial Plexus; D002545:Brain Ischemia / Q000150:complications* / Q000000981:diagnostic imaging; D002536:Cerebral Arteries; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D014057:Tomography, X-Ray Computed
Paralysie brachiale frontière d'origine non ischémique.