title: [Cervical ischaemic neuronopathy and cardioembolism: another cause of man-in-the-barrel syndrome].
abstract: BACKGROUND
  Spinal infarction accounts for 1% of all strokes. Cardioembolism is a rare cause. Common areas of ischemic spinal damage are watershed in the dorsal or lumbar regions; however cervical spinal cord infarction has been reported previously.
  
  
  METHODS
  We present a new case of a man-in-the-barrel syndrome produced by cardiac embolization associated with atrial fibrillation during an acute myocardial infarction, which caused cervical ischemic neuronopathy (infarction of the anterior horn).
  
  
  CONCLUSIONS
  Classic features of cervical spinal cord ischemia are acute tetraplegia, bladder, bowel and cardiovascular dysfunction and dissociate sensory loss. Incomplete collateralization and anatomical characteristics of the circulation of the anterior spinal artery in the cervical spinal cord, makes of the portion C3 to C5, the most vulnerable portion to ischemic damage, since the radicular arteries supply begins bellow C5 and the pathophysiology of a fast fresh clot lysis produced unique bilateral neuronal horn cells damage.
authors.affiliation: Hospital de Especialidades Centro Medico Nacional de Occidente, IMSS, Guadalajara, Mexico.
authors.forename: H
authors.initials: H
authors.lastname: Gonzalez-Usigli
authors.affiliation: Hospital de Especialidades Centro Medico Nacional de Occidente, IMSS, Guadalajara, Mexico.
authors.forename: A
authors.initials: A
authors.lastname: Gandarilla
authors.affiliation: Hospital de Especialidades Centro Medico Nacional de Occidente, IMSS, Guadalajara, Mexico.
authors.forename: J J
authors.initials: JJ
authors.lastname: Garcia
authors.affiliation: Hospital de Especialidades Centro Medico Nacional de Occidente, IMSS, Guadalajara, Mexico.
authors.forename: J
authors.initials: J
authors.lastname: Serrato
authors.affiliation: Hospital de Especialidades Centro Medico Nacional de Occidente, IMSS, Guadalajara, Mexico.
authors.forename: N
authors.initials: N
authors.lastname: Estrada
mesh_terms: D006801:Humans; D007238:Infarction / Q000175:diagnosis*; D007511:Ischemia / Q000175:diagnosis*; D009333:Neck; D013116:Spinal Cord / Q000473:pathology*; D014711:Vertebral Artery