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Man-in-the-barrel syndrome caused by cervical spinal cord infarction.

by D Berg, W Müllges, M Koltzenburg, M Bendszus, K Reiners
Acta Neurologica Scandinavica ()

Abstract

Acute brachial diplegia with normal findings of the legs, "man-in-the barrel" (MIB) syndrome, is generally thought to be caused by bilateral supratentorial brain lesions of the prerolandic cortical and subcortical area. We report 1 patient with a sudden onset of MIB syndrome with no supratentorial lesion but a hemodynamically induced atypical anterior spinal cord infarction after unilateral vertebral artery dissection. Thus, in MIB syndrome an infratentorial lesion site, including the cervical spinal cord, should also be considered.

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