Case Report

Transient Attacks of Man-in-the-Barrel Syndrome

Authors: Jack N. Alpert, MD


A 60-year-old man complained of 20–25 second episodes of bilateral arm paralysis. Neuroimaging disclosed spinal cord compression at the C3-4 level caused by a herniated disc and retrolisthesis. Spinal cord ischemia due to impingement of a vertebral artery or its spinal branch was suspected but could not be substantiated by neuroimaging. Discectomy and fusion eliminated these attacks.

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