Man-in-the-barrel syndrome (MIBS) is a clinical syndrome of bilateral upper limb weakness with normal lower extremity function. It can be caused by various neurological conditions such as bilateral cerebral hypoperfusion, syringomyelia, motor neuron disease, or cervical myelopathies. We report a patient with MIBS after cervical spinal cord ischemia. It is postulated to be caused by ischemic insults of anterior spinal artery from repeated and prolonged neck extension.

Citations

• Person-in-the-barrel syndrome following cervical spine surgery: illustrative case
  Lisa B. E. Shields, Vasudeva G. Iyer, Yi Ping Zhang, Christopher B. Shields
  Journal of Neurosurgery: Case Lessons.2021;[Epub]     CrossRef
• Two Cases of ‘Man-in-the-Barrel’ Syndrome Caused by Cerebral Hypoperfusion and Hypoxia
  Jonguk Kim, Seung Hun Oh, Ok Joon Kim
  Journal of Neurocritical Care.2015; 8(1): 30.     CrossRef