Síndrome do Homem do Barril
histórico e etiologias várias
DOI:
https://doi.org/10.34024/rnc.2009.v17.8573Palavras-chave:
Doenças Neuromusculares, Doença do Neurônio Motor, Corno AnteriorResumo
A síndrome do “homem do barril” (SHB) faz referência a um quadro de fraqueza muscular braquial bilateral, de predominio proximal, que impossibilita os pacientes na execução de atividades funcionais relacionadas com a elevação dos membros superiores. Desde sua descrição, inúmeros casos de pacientes com essa síndrome foram relatados, cuja etiopatogenia difere daquela descrita inicialmente. As mais frequentes causas de SHB são distúrbios vasculares cerebrais, cirurgias cardíacas e extracardíaca com demonstração de hipotenção arterial, metásteses cerebrais, e o envolvimento da ponte e medula espinhal. Paralisia braquial bilateral também ocasiona quadro similar. Assim, o substrato fisiopatológico que se relaciona a SHB, em alguns casos, é incerto e merece atenção.
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Clerget L, Lenfant F, Roy H, Giroud M, Salem DB, Freysz M. Man-in-the-Barrel Syndrome after Hemorrhagic Shock. J Trauma 2003;54:183-6.
Wahl CC. “Man-in-the-Barrel” Syndrome After Endoscopic Sinus Surgery. Anesth Analg 1998;87:1196-8.
Sage JI. “Man in the barrel” syndrome after cerebral hypoperfusion: clinical description, incidence, and prognosis. Ann Neurol 1983;14:131.
Crisostomo EA, Suslavich FJ. Man-in-the-barrel syndrome associated with closed head injury. J Neuroimaging 1994;4:116-7.
Wilck EJ, Gerard PS, Keilson M, Bashevkin M, Lieberman J. Symmetrical cerebral metastasis presenting with bilateral upper extremity weakness. J Neuroimaging 1996;6:254-6.
Moore AP, Humphrey PR. Man-in-the-barrel syndrome caused by cerebral metastases. Neurology 1989;39: 1134-5.
Alberca R, Iriarte LM, Rasero P, Villalobos F. Brachial diplegia in central pontine myelinolysis. J Neurol 1985;231: 345-6.
Dide M, Lhermite J. La diplegie brachiale spasmodique consecutive aux blessures par coups de feu de la region cervicale. Progres Med 1917;1:1-3.
Migliardi CD, Pierini LD. Polyneuropathic brachial diplegia. Rev Asoc Med Argent 1965;79:334-5.
Katz JS, Wolfe GI, Andersson PB, Saperstein DS, Elliott JL, Nations SP, et al. Brachial amyotrophic diplegia: a slowly progressive motor neuron disorder. Neurology 1999;53:1071-6.
Telfer RB, Miller EM. Central pontine myelinolysis following hyponatremia demonstrated by computerized tomography. Ann Neurol 1979;6:455-6.
Barbizet J, Degos JD, Hurth M, Duval J, Aillerie MA. Brachial diplegia due to ischemia of the anterior horns during septicemia caused by Salmonella typhimurium. Ann Med Interne (Paris) 1974;125:191-4.
Soubrier M, Demarquilly F, Urosevic Z, , Zbadi K, Dubost JJ, Risotri JM, et al. Cervical epidural infection. Four case-reports. Rev Rhum Engl Ed 1995;62:29-34.
Renard JF, Massardier E, Iasci L, Onnient Y, Miret N, Callonnec F, et al. Brachial diplegia caused by cervical spinal cord ischemia. A case. Rev Neurol (Paris) 1997;153:690-3.
Bell HS. Paralysis of both arms from injury of the upper portion of the pyramidal decussation: ‘cruciate paralysis’. J Neurosurg 1970;33:376-80.
Mohr JP. Distal field infarction. Neurology 1969;19:279.
Sage JI, Van-Uitert RL. Man-in-the-barrel syndrome. Neurology 1986;36:1102-3.
Olejniczak PG, Ellenberg MR, Eilender LM, Muszynski CT. Manin-the-barrel syndrome in a noncomatose patient: a case report. Arch Phys Med Rehabil 1991;72:1021-3.
Hurley JP, Wood AE. Isolated man-in-the-barrel syndrome following cardiac surgery. Thorac Cardiovasc Surg 1993;41:252-4.
Shaw PJ, Tharakaram S, Mandal SK. Brachial diplegia as a sequel to cardio-respiratory arrest: ‘man-in-the-barrel syndrome’. Post Grad Medical J 1990;66:788.
Georgiadis D, Schulte-Mattler WJ. Cruciate paralysis or man-inthe-barrel syndrome? Report of a case of Brachial Diplegia. Acta Neurol Scand 2002;105:337-40.
Deleu D, Salim K, Mesraoua B, Siddig AE, Hail HA, Hanssens Y. ‘‘Man-in-the-barrel’’ syndrome as delayed manifestation of extrapontine and central pontine myelinolysis: Beneficial effect of intravenous immunoglobulin. J Neurol Sci 2005;237:103-6.
Berg D, Müllges W, Koltzenburg M, Bendszus M, Reiners K. Manin-the-barrel syndrome caused by cervical spinal cord infarction. Acta Neurol Scand 1998;97:417-9.
Pullicino P. Bilateral distal upper limb amyotrophy and watershed infarcts from vertebral dissection. Stroke 1994;25:1870-2.
Luengo-Álvarez J, Ramírez-Moreno JM, Falcón-García A, CasadoNaranjo I. Neuralgia amiotrófica bilateral y simétrica que simula el síndrome del ‘hombre en el barril’. Rev Neurol 2006;43(2):123-4.
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Publicado: 2009-06-30