Journals / Ege Tıp Dergisi / 2009 / Cilt: 48 - Sayı: 2

A case presenting with "man in the barrel syndrome" whose etiological underlying cause is radiculopathy due to cervical vertebra metastasis

Etyolojide servikal vertebra metastazına bağlı gelişen radikülopati saptanan bir "fıçıdaki adam sendromu" olgusu

Pages
127–129
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: İn this report we describe a case presenting with MİBS whose etiological undelying cause is radiculopathy due to cervical vertebra metastasis.

📌 3 Key Takeaways

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Objective & Hypothesis:Brachial diplegia with normal findings of the legs, "man-in-the barrel" syndrome (MIBS), is generally thought to be caused by bilateral supratentorial brain lesions of the prerolandic cortical and subcortical area.
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Key Findings & Data:There is only a few report in literature about MIBS regarding with infratentorial causes and they have usually vascular pathogenesis.
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Conclusion & Impact:Conclusion: İn this report we describe a case presenting with MİBS whose etiological undelying cause is radiculopathy due to cervical vertebra metastasis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Brachial diplegia with normal findings of the legs, "man-in-the barrel" syndrome (MIBS), is generally thought to be caused by bilateral supratentorial brain lesions of the prerolandic cortical and subcortical area. There is only a few report in literature about MIBS regarding with infratentorial causes and they have usually vascular pathogenesis. Case: 66 years old men consulted for brachial dipleji and brachial pain. EMG showed bilaterally C5-C7 spinal radiculer involvement, especially in C5-C6 regions. Cervical MRG demonstrated C5 vertebrospinal metastasis. Conclusion: İn this report we describe a case presenting with MİBS whose etiological undelying cause is radiculopathy due to cervical vertebra metastasis.

Özet

Alt ekstremite kasgücü normalken brakiyal diplejinin bulunması “fıçıdaki adam sendromu” (FAS) olarak bilinir ve genellikle prerolandik kortikal ve subkortikal alanlardaki bilateral supratentorial beyin lezyonlarına bağlı olarak geliştiği düşünülür. Literatürde FAS'a yol açan az sayıda infratentoriyel nedenli olgu bildirimleri bulunmaktadır ve bunlar genellikle damarsal patoloji ile ilişkilendirilmiştir. Olgu: 66 yaşında erkek olgu kollarındaki güçsüzlük ve ağrı yakınması ile başvurdu. Elektromyografi (EMG)'de C5, C6 da daha belirgin olmak üzere bilateral C5, C7 spinal radiküler tutuluş saptanan olgunun servikal MRG'sinde C5 vertebrospinal metastatik lezyon varlığı ortaya kondu. Yorum: Bu sunumda FAS kliniği ile prezente olan ve etyolojide servikal vertebra metastazına bağlı radikülopati saptanan bir olgu literatür eşliğinde tartışılmıştır.

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Cite This Article

GÜLER, A., UYAROĞLU, F. G., ARAÇ, N. (2009). A case presenting with "man in the barrel syndrome" whose etiological underlying cause is radiculopathy due to cervical vertebra metastasis. Ege Tıp Dergisi, Cilt: 48 - Sayı: 2, 127–129. https://ajindex.com/articles/222874

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References (8)

  1. Georgiadis D, Schulte-Mattler WJ. Cruciate paralysis or man-in-the-barrel syndrome? Report of a case of brachial diplegia. Acta Neurol Scand 2002; 105:337-340
  2. Paulin M, de Seze J, Wyremblewski P, Zéphir H, Leys D, Vermersch P. Man-in-the-barrel syndrome caused by a pontine lesion Neurology. 2005;64:1703 3) Levi ADO, Tator CH, Bunge RP. Clinical syndromes associated with disproportionate weakness of the upper versus the lower extremities after cervical spinal cord injury. Neurosurgery 1996; 38:179-185
  3. Berg D, Müllges W, Koltzenburg M, Bendszus M, Reiners K. Man-in-the-barrel syndrome caused by cervical spinal cord infarction. Acta Neurol Scand. 1998;97(6):417-9 5) Clerget L, Lenfant F, Roy H, et al. Man-in-the-barrel syndrome after hemorrhagic shock. J Trauma 2003; 54: 183-6
  4. Cristomo EA, Suslavich FJ. Man-in-the-barrel syndrome associated with closed head injury. J Neuroimag 1994; 4:116-7
  5. Elting JW, Haaxma R, Sulter G, DeKeyser J. Predicting outcome from coma: Man-in-the-barrel syndrome as potential pitfall. Clin Neurol Neurosurg 2000; 102: 23-5
  6. Moore AP, Humphrey PRD. Man-in-the-barrel syndrome caused by cerebral metastases. Neurology 1989; 39:1134-5
  7. Olejniczak PG, Ellenberg MR, Eilender LM, Muszynski CT Man-in-the-barrel syndrome in a noncomatose patient: a case report. Arch Phys Med Rehabil. 1991; 72(12):1021-1023
  8. Katz JS, Wolfe GI, Andersson PB, Saperstein DS, Elliott JL, Nations SP, Bryan WW, Barohn RJ Brachial amyotrophic diplegia: a slowly progressive motor neuron disorder Neurology. 1999 22;53:1071-1076.