Man-In-The-Barrel. A Case of Cervical Spinal Cord Infarction and Review of the Literature
María José García Antelo*, Teresa Lema Facal, Tamara Pablos Sánchez, María Soledad López Facal , Eduardo Rubio Nazabal
Identifiers and Pagination:Year: 2013
First Page: 7
Last Page: 10
Publisher ID: TONEUJ-7-7
Article History:Received Date: 4/2/2012
Revision Received Date: 28/3/2012
Acceptance Date: 10/4/2012
Electronic publication date: 24/1/2013
Collection year: 2013
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Man-in-the-barrel syndrome was initially observed in patients with signs of serious cerebral hypoperfusion, in the border zone of the anterior and medial cerebral artery, but other causes were communicated later.
a healthy 43-year-old woman who showed intense cervical pain, irradiating over both shoulders and arms. Physical examination on admission highlighted notable brachial diparesis, tacto-algesic hypoesthesia of both arms and sensory level C4-D9.
cervical Magnetic Resonance Imaging (MRI) on admission revealed a hyperintense intramedullar lesion at C3-C7 level, due to a cervical cord infarction.
our case reveals that conventional neurological consideration about the specific anatomical location of man-in-the-barrel syndrome in the brain should be extended to other locations such as the cervical column and not only the brain area.