Transient attacks of man-in-the-barrel syndrome.
A 60-year-old man complained of 20-25 second episodes of bilateral arm paralysis. Neuroimaging disclosed spinal cord compression at the C3-4 level caused by a herniated disc and retrolisthesis. Spinal cord ischemia due to impingement of a vertebral artery or its spinal branch was suspected but could not be substantiated by neuroimaging. Discectomy and fusion eliminated these attacks.
Alpert
Jack N
JN
Department of Neurology, St Luke's Episcopal Hospital, Houston, TX 77030, USA. jnalpert@aol.com
D002574:Cervical Vertebrae; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000601:surgery; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology*; D013117:Spinal Cord Compression / Q000150:complications*; D013123:Spinal Fusion; D013577:Syndrome; D034941:Upper Extremity / Q000294:innervation*