Man-in-the-barrel syndrome caused by cervical spinal cord infarction.
Acute brachial diplegia with normal findings of the legs, "man-in-the barrel" (MIB) syndrome, is generally thought to be caused by bilateral supratentorial brain lesions of the prerolandic cortical and subcortical area. We report 1 patient with a sudden onset of MIB syndrome with no supratentorial lesion but a hemodynamically induced atypical anterior spinal cord infarction after unilateral vertebral artery dissection. Thus, in MIB syndrome an infratentorial lesion site, including the cervical spinal cord, should also be considered.
Department of Neurology, Bayerische Julius-Maximilians-Universität, Würzburg, Germany.
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D
Berg
W
W
Müllges
M
M
Koltzenburg
M
M
Bendszus
K
K
Reiners
D000208:Acute Disease; D000792:Angiography; D001917:Brachial Plexus / Q000473:pathology*; D002574:Cervical Vertebrae / Q000098:blood supply* / Q000473:pathology*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007238:Infarction / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013116:Spinal Cord / Q000098:blood supply* / Q000473:pathology*; D013577:Syndrome