Man-In-The-Barrel Syndrome: Acute bilateral brachial plexopathy after recurrent microtrauma

The presence of brachial diplegia despite the normal muscular strength of the lower extremities is called the man-in-the-barrel syndrome (MIBS). Although this rare syndrome often occurs due to the bilateral supratentorial brain lesions, it may also rarely occur as a result of infratentorial causes....

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Bibliographic Details
Published in:Journal of the Pakistan Medical Association 2019-05, Vol.69 (5), p.725-727
Main Authors: Vural, Gonul, Gumusyayla, Sadiye, Bektas, Hesna, Akdeniz, Gulsum
Format: Article
Language:English
Subjects:
Action Potentials
Anti-Inflammatory Agents - therapeutic use
Brachial Plexus - injuries
Brachial Plexus Neuropathies - diagnosis
Brachial Plexus Neuropathies - drug therapy
Brachial Plexus Neuropathies - etiology
Electromyography
Humans
Male
Methylprednisolone - therapeutic use
Microtrauma, Physical - complications
Middle Aged
Muscle strength
Neural Conduction
Neurophysiology
Occupational Injuries - complications
Paralysis
Spinal cord
Syndrome
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Summary:The presence of brachial diplegia despite the normal muscular strength of the lower extremities is called the man-in-the-barrel syndrome (MIBS). Although this rare syndrome often occurs due to the bilateral supratentorial brain lesions, it may also rarely occur as a result of infratentorial causes. In this report, we describe a case presenting with MIBS of which etiological underlying cause was bilateral brachial plexopathy developed secondarily to recurrent microtrauma. A 51-year-old male patient presented to our clinic with complaints of pain and weakness on both arms. After electrodiagnostic examination, bilateral brachial plexopathy was identified. The findings of the patient improved following methylprednisolone therapy. It is very important to determine the treatable causes of this syndrome at an early stage.
ISSN:0030-9982