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Man-in-the-Barrel Syndrome Secondary to Idiopathic Acute Anterior Spinal Artery Infarction.
Cureus
July 2023
Neurology, Sheikh Khalifa Medical City, Abu Dhabi, ARE.
A 52-year-old female presented to our hospital with an acute history of isolated bilateral arm weakness. An MRI of the cervical spine confirmed an acute anterior spinal artery infarction. Further investigations to determine a specific etiology were unremarkable, leading to a diagnosis of idiopathic anterior spinal artery infarction consistent with Man-in-the-Barrel syndrome.
View Article and Find Full Text PDF'Man-in-the-barrel' syndrome: a case report of bilateral arm paresis following cardiac arrest.
Ann Med Surg (Lond)
March 2023
M Abdur Rahim Medical College, Dinajpur, Bangladesh.
Unlabelled: 'Man-in-the-barrel syndrome' (MIBS) is a neurological phenotype with brachial diplegia, normal sensation, and preserved motor function of the lower limb. Severe hypotension leading to watershed infarctions leading to this phenotype has been reported. The pathogenesis of MIBS is believed to be cerebral hypoperfusion leading to border zone infarctions between the territories of the anterior and middle cerebral arteries.
View Article and Find Full Text PDFClinical Reasoning: A 64-Year-Old Man With History of Meningitis Presenting With Proximal Weakness of the Arms.
Neurology
February 2022
From the Department of Neurology (P.K., L.K., J.M.B.); and Department of Neurosurgery (P.K., J.M.B.), Yale School of Medicine, New Haven, CT; Department of Neurosurgery (P.K., N.T.), Ludwig-Maximilians-University Munich; and Department of Neurology (L.K.), Heidelberg University Hospital, Germany.
A 64-year-old man presented for evaluation of proximally pronounced weakness of the arms with preserved facial and lower extremity strength. Symptoms slowly developed over the last 2 years, and the patient's history was notable for severe meningitis 4 years before presentation, which was adequately treated with antibiotics. On examination, symptoms clinically reassembled man-in-the-barrel syndrome and localized to the cervicothoracic central cord.
View Article and Find Full Text PDFCervical spinal cord infarction due to impingement of an anomalous right vertebral artery by thoracic osteophyte.
Spinal Cord Ser Cases
October 2021
Memorial Healthcare System, Hollywood, FL, USA.
Introduction: Spinal cord infarction in a young, otherwise healthy individual is a rare occurrence. The anterior spinal artery and posterior spinal arteries are the primary contributors to the vascular supply of the cervical supply, and these arteries arise as descending branches of the vertebral arteries. Historically, many cases have demonstrated individual variations in the vertebral arteries, such as differences in dominancy, patency, origin, and insertion.
View Article and Find Full Text PDFPerson-in-the-barrel syndrome following cervical spine surgery: illustrative case.
J Neurosurg Case Lessons
February 2021
Norton Neuroscience Institute, Norton Healthcare, Louisville, Kentucky.
Background: Person-in-the-barrel syndrome is characterized by bilateral brachial diplegia, intact cranial nerves, and preserved lower-extremity strength. Most cases are due to bilateral supratentorial brain lesions at the border zone of the anterior and middle cerebral artery vascular territories. This condition has been observed with spinal pathology, primarily involving vascular dissection and thromboembolism.
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