Case report Man-in-the-barrel syndrome caused by cervical spinal cord infarction |
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Authors: | D Berg W Miillges M Koltzenburg M Bendszus K Reiners |
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Institution: | Department of Neurology, Bayerische Julius-Maximilians-Universität, Wurzburg, Germany;Department of Neuroradiology, Bayerische Julius-Maximilians-Universität, Wurzburg, Germany |
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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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Keywords: | unilateral vertebral artery dissection anterior-spinal artery syndrome spinal cord lesion MRI angiography |
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