Man-in-the-barrel syndrome (MIBS)
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Man-in-the-barrel syndrome (MIBS). There is bilateral upper limb weakness and atrophy (brachial diplegia). Fully referenced neurology checklist.
Description
- There is bilateral upper limb weakness and atrophy (brachial diplegia)
- The proximal C5-7 myotomes are worse affected
- Lower limb power, cranial nerves, bowel and bladder functions are normal
Clinical features
Locked: subscribe to see this section.
Intracranial causes
Locked: subscribe to see this section.
Spinal causes
Locked: subscribe to see this section.
Neuromuscular causes
Locked: subscribe to see this section.
Peripheral causes
Locked: subscribe to see this section.
Synonyms
Locked: subscribe to see this section.
References
- Shields LBE, Iyer VG, Zhang YP, Shields CB. Person-in-the-barrel syndrome following cervical spine surgery: illustrative case. J Neurosurg Case Lessons 2021; 1:CASE20165.
- Orsini M, Catharino AM, Catharino FM, et al. Man-in-the-barrel syndrome, a symmetrical proximal brachial amyotrophic diplegia related to motor neuron diseases: a survey of nine cases. Rev Assoc Med Bras 2009; 55:712-715.
- Bertorini TE. Neuromuscular Case Studies. Butterworth Heinemann Philadelphia 2008 p236.
- Kesserwani H. "Person-in-the-barrel" syndrome: a case report of bilateral arm paresis due to vasculitis with a review of pathological mechanisms. Cureus 2021; 13:e13607.
- Finsterer J. Man-in-the-Barrel syndrome and its mimics. South Med J 2010; 103:9-10.
- And 26 more. Subscribe to see the full list
