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
Servicio de Neurología, Complexo Hospitalario Universitario A Coruña, C/ As Xubias, s/n. Código Postal 15006. A Coruña, Spain

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© Antelo et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Servicio de Neurología. Complexo Hospitalario Universitario A Coruña. C/ As Xubias, s/n. Código Postal 15006. A Coruña, Spain; Tel: 657091302; Fax: 981178001; E-mail:



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.

Keywords: Spinal cord infarction, man-in-the-barrel, brachial diplegia, stroke.