Abstract:
INTRODUCTION:«Man-in-the-barrel» syndrome refers to diplegia of the upper extremities in which mobility of the head and lower limbs is preserved. Brachial plexitis that presents as «man-in-the-barrel» syndrome is an unusual manifestation of giant cell arteritis. We report a case of C5-C6 plexitis as part of the clinical features of a patient with giant cell arteritis. CASE REPORT:A 70-year-old male with a two-month history of weight loss, headache, facial pain and jaw claudication, associated with a persistent elevation of acute phase reactants and bilateral brachial plexopathy, with no evidence of neck or brain injuries or occult neoplasm and with negative autoimmunity tests. Results of the biopsy study of the temporal artery were compatible with giant cell arteritis, and the positron emission tomography scan revealed extensive vascular involvement of the aorta and its branches. CONCLUSIONS:Although the typical clinical manifestations of giant cell arteritis are headache, jaw claudication, loss of sight, constitutional symptoms and polymyalgia rheumatica, its presence must be suspected in patients over the age of 50 who manifest alterations affecting the peripheral nerve, including brachial diplegia with no other demonstrable cause. TITLE:Sindrome del hombre en el barril: manifestacion atipica de la arteritis de celulas gigantes. :Introduccion. El sindrome del hombre en el barril hace referencia a la diplejia de los miembros superiores con movilidad preservada de la cabeza y los miembros inferiores. La plexitis braquial que se presenta como sindrome del hombre en el barril es una manifestacion inusual de la arteritis de celulas gigantes. Se comunica un caso de plexitis C5-C6 como parte del cuadro clinico de un paciente con arteritis de celulas gigantes. Caso clinico. Varon de 70 años con dos meses de evolucion de perdida de peso, cefalea, dolor facial y claudicacion mandibular, asociados a elevacion persistente de reactantes de fase aguda y plexopatia braquial bilateral, sin evidencia de lesiones cervicales o cerebrales, neoplasia oculta y con pruebas de autoinmunidad negativas; la biopsia de la arteria temporal fue compatible con arteritis de celulas gigantes y la tomografia por emision de positrones demostro una extensa afeccion vascular de la aorta y sus ramas. Conclusiones. Si bien las manifestaciones clinicas tipicas de la arteritis de celulas gigantes son cefalea, claudicacion mandibular, perdida visual, sintomas constitucionales y polimialgia reumatica, se debe sospechar su presencia en pacientes mayores de 50 años que manifiesten alteraciones del nervio periferico, entre ellas, diplejia braquial sin otra causa demostrable.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
Calle-Lopez Y,Fernandez-Ramirez AF,Franco-Dager E,Gomez-Lopera JG,Vanegas-Garcia ALsubject
Has Abstractpub_date
2018-06-01 00:00:00pages
373-376issue
11eissn
0210-0010issn
1576-6578pii
rn2018045journal_volume
66pub_type
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journal_title:Revista de neurologia
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journal_title:Revista de neurologia
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更新日期:2002-11-01 00:00:00
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doi:
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journal_title:Revista de neurologia
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doi:
更新日期:2005-02-01 00:00:00
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journal_title:Revista de neurologia
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更新日期:2003-08-01 00:00:00
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journal_title:Revista de neurologia
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pub_type: 杂志文章
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journal_title:Revista de neurologia
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更新日期:2007-08-16 00:00:00
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更新日期:2001-04-16 00:00:00