CASE REPORT
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
Article Information
Identifiers and Pagination:
Year: 2013Volume: 7
First Page: 7
Last Page: 10
Publisher ID: TONEUJ-7-7
DOI: 10.2174/1874205X01307010007
Article History:
Received Date: 4/2/2012Revision 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.
Abstract
Introduction:
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.
Methods:
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.
Results:
cervical Magnetic Resonance Imaging (MRI) on admission revealed a hyperintense intramedullar lesion at C3-C7 level, due to a cervical cord infarction.
Conclusions:
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.
