{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:40:02Z","timestamp":1756312802941,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,9,6]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>A boy aged 19 years presented to emergency room with severe postprandial upper abdominal pain and recent significant weight loss, with history of decompressive craniotomy for post-traumatic frontal lobe haemorrhage. CT scan revealed an acute indentation of coeliac artery with high-grade stenosis and post-stenotic dilatation, diagnostic of median arcuate ligament syndrome (MALS). MALS, a diagnosis of exclusion, is identified using patient\u2019s accurate symptomatic description. Exclusion of other causes of abdominal angina in a patient with frontal lobe syndrome was a challenging job, as they lack critical decision-making ability. Hence, the decision to proceed with the complex laparoscopic procedure was made by the patient\u2019s parents and the surgeon, with the patient\u2019s consent. Laparoscopic release of the median arcuate ligament resulted in relief of the patient symptoms much to the relief of his parents and the surgeon.<\/jats:p>","DOI":"10.1136\/bcr-2020-235123","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T16:35:26Z","timestamp":1604507726000},"page":"e235123","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Median arcuate ligament syndrome in a patient with frontal lobe syndrome"],"prefix":"10.1136","volume":"13","author":[{"given":"Sri Lakshmi Kanthan","family":"Pandian","sequence":"first","affiliation":[{"name":"General Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saravana","family":"Sanniyasi","sequence":"additional","affiliation":[{"name":"General Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjana","family":"Ravindra","sequence":"additional","affiliation":[{"name":"General Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narayanan D","family":"Cunnigaiper","sequence":"additional","affiliation":[{"name":"General Surgery, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,11,4]]},"reference":[{"key":"2025082709015352000_13.11.e235123.1","first-page":"154","article-title":"Ultrasonographic diagnosis of median arcuate ligament syndrome: a report of two cases","volume":"14","author":"Ozel","year":"2012","journal-title":"Med Ultrason"},{"key":"2025082709015352000_13.11.e235123.2","doi-asserted-by":"publisher","DOI":"10.1126\/science.8178168"},{"key":"2025082709015352000_13.11.e235123.3","first-page":"285","article-title":"\"Acquired sociopathy\": the development of sociopathic behavior following focal brain damage","author":"Tranel","year":"1994","journal-title":"Prog Exp Pers Psychopathol Res"},{"key":"2025082709015352000_13.11.e235123.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(05)70558-2"},{"key":"2025082709015352000_13.11.e235123.5","doi-asserted-by":"publisher","DOI":"10.1148\/85.4.617"},{"key":"2025082709015352000_13.11.e235123.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(95)80555-9"},{"key":"2025082709015352000_13.11.e235123.7","first-page":"547","article-title":"A rare obstruction of the coeliac artery. 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