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.
Berg
D
D
Department of Neurology, Bayerische Julius-Maximilians-Universität, Würzburg, Germany.
Müllges
W
W
Koltzenburg
M
M
Bendszus
M
M
Reiners
K
K
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