The Spondylotic Man in a Barrel

Bibliographic Details
Main Author: Almeida, Marco
Publication Date: 2025
Other Authors: Matias, Fernando
Format: Article
Language: por
eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: https://doi.org/10.46531/sinapse/CC/79/2025
Summary: Man-in-a-barrel syndrome (MBS) is a rare clinical condition in which patients present with bilateral brachial diplegia, with relatively spared strength in the lower limbs. This syndrome is typically attributed to hypoperfusion brain injury rather than spinal pathology. We describe the case of a 75-year-old man who presented with bilateral upper limb paresis. He had had two cardiorespiratory arrests with no documented neurological sequelae a few years before. Imaging tests however showed severe cervical spondylotic myelopathy as the most likely cause. He was not accepted for surgery given the high surgical risk. Despite its rarity, treatable causes of man-in-a barrel syndrome such as cervical compressive myelopathy must be excluded.
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spelling The Spondylotic Man in a BarrelO Homem no Barril EspondilóticoParalysisSpinal Cord DiseasesSpondylosisDoenças da Medula EspinalEspondiloseParalisiaMan-in-a-barrel syndrome (MBS) is a rare clinical condition in which patients present with bilateral brachial diplegia, with relatively spared strength in the lower limbs. This syndrome is typically attributed to hypoperfusion brain injury rather than spinal pathology. We describe the case of a 75-year-old man who presented with bilateral upper limb paresis. He had had two cardiorespiratory arrests with no documented neurological sequelae a few years before. Imaging tests however showed severe cervical spondylotic myelopathy as the most likely cause. He was not accepted for surgery given the high surgical risk. Despite its rarity, treatable causes of man-in-a barrel syndrome such as cervical compressive myelopathy must be excluded.A síndrome do homem no barril é uma condição clínica rara no qual a apresentação é marcada por diplegia braquial com força muscular relativamente preservada nos membros inferiores. Esta síndrome é tipicamente atribuído a lesões cerebrais por hipoperfusão e menos frequentemente a patologia medular. Descrevemos o caso de um homem de 75 anos com parésia dos membros superiores. Tinha antecedentes de duas paragens cardiorrespiratórias anos antes, sem sequelas neurológicas documentadas. Os exames de imagem revelaram uma mielopatia espondilótica cervical severa como a causa mais provável. Não foi aceite para cirurgia dado o elevado risco cirúrgico. Apesar da sua raridade, causas tratáveis da síndrome do homem no barril tal como a mielopatia compressiva cervical têm de ser excluídas.Portuguese Society of Neurology2025-02-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlapplication/pdfhttps://doi.org/10.46531/sinapse/CC/79/2025https://doi.org/10.46531/sinapse/CC/79/2025Sinapse; Vol. 25 No. 1 (2025): January - March; 10-14Sinapse; Vol. 25 N.º 1 (2025): Janeiro - Março; 10-142184-42401645-281Xreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAPporenghttps://sinapse.pt/index.php/journal/article/view/79https://sinapse.pt/index.php/journal/article/view/79/96https://sinapse.pt/index.php/journal/article/view/79/98Direitos de Autor (c) 2024 Marco Almeida, Fernando Matias (Autor)info:eu-repo/semantics/openAccessAlmeida, MarcoMatias, Fernando2025-05-10T11:10:14Zoai:sinapse.pt:article/79Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T01:13:54.249508Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv The Spondylotic Man in a Barrel
O Homem no Barril Espondilótico
title The Spondylotic Man in a Barrel
spellingShingle The Spondylotic Man in a Barrel
Almeida, Marco
Paralysis
Spinal Cord Diseases
Spondylosis
Doenças da Medula Espinal
Espondilose
Paralisia
title_short The Spondylotic Man in a Barrel
title_full The Spondylotic Man in a Barrel
title_fullStr The Spondylotic Man in a Barrel
title_full_unstemmed The Spondylotic Man in a Barrel
title_sort The Spondylotic Man in a Barrel
author Almeida, Marco
author_facet Almeida, Marco
Matias, Fernando
author_role author
author2 Matias, Fernando
author2_role author
dc.contributor.author.fl_str_mv Almeida, Marco
Matias, Fernando
dc.subject.por.fl_str_mv Paralysis
Spinal Cord Diseases
Spondylosis
Doenças da Medula Espinal
Espondilose
Paralisia
topic Paralysis
Spinal Cord Diseases
Spondylosis
Doenças da Medula Espinal
Espondilose
Paralisia
description Man-in-a-barrel syndrome (MBS) is a rare clinical condition in which patients present with bilateral brachial diplegia, with relatively spared strength in the lower limbs. This syndrome is typically attributed to hypoperfusion brain injury rather than spinal pathology. We describe the case of a 75-year-old man who presented with bilateral upper limb paresis. He had had two cardiorespiratory arrests with no documented neurological sequelae a few years before. Imaging tests however showed severe cervical spondylotic myelopathy as the most likely cause. He was not accepted for surgery given the high surgical risk. Despite its rarity, treatable causes of man-in-a barrel syndrome such as cervical compressive myelopathy must be excluded.
publishDate 2025
dc.date.none.fl_str_mv 2025-02-28
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.46531/sinapse/CC/79/2025
https://doi.org/10.46531/sinapse/CC/79/2025
url https://doi.org/10.46531/sinapse/CC/79/2025
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://sinapse.pt/index.php/journal/article/view/79
https://sinapse.pt/index.php/journal/article/view/79/96
https://sinapse.pt/index.php/journal/article/view/79/98
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2024 Marco Almeida, Fernando Matias (Autor)
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2024 Marco Almeida, Fernando Matias (Autor)
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Portuguese Society of Neurology
publisher.none.fl_str_mv Portuguese Society of Neurology
dc.source.none.fl_str_mv Sinapse; Vol. 25 No. 1 (2025): January - March; 10-14
Sinapse; Vol. 25 N.º 1 (2025): Janeiro - Março; 10-14
2184-4240
1645-281X
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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