kjcn Korean Journal of Community Nutrition Korean J Community Nutr 1226-0983 2287-1624 Journal of the Korean Society of Community Nutrition 10.14253/kjcn.2013.15.2.59 kjcn-15-59 Case Report A Case of Man-in-the-Barrel Syndrome Induced by Cervical Spinal Cord Ischemia YoonByeol A 1 KimJong Juk 1 HaDong Ho 2 Departments of Neurology and Dong-A University College of Medicine, Busan, Korea Departments of Radiology, Dong-A University College of Medicine, Busan, Korea Address for correspondence; Jong Kuk Kim Department of Neurology, Dong-A University College of Medicine, 26 Daesingongwon-ro, Seo-gu, Busan 602-715, Korea Tel: +82-51-240-5260 Fax: +82-51-244-8338 E-mail: advania9@chol.com 12013 1912013 15 2 59 62 17102012 15042013 10122013 Copyright © 2013 Journal of the Korean Society of Community Nutrition 2013 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Man-in-the-barrel syndrome (MIBS) is a clinical syndrome of bilateral upper limb weakness with normal lower extremity function. It can be caused by various neurological conditions such as bilateral cerebral hypoperfusion, syringomyelia, motor neuron disease, or cervical myelopathies. We report a patient with MIBS after cervical spinal cord ischemia. It is postulated to be caused by ischemic insults of anterior spinal artery from repeated and prolonged neck extension.

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Cervical spinal MRI one day after the onset shows compressed cord at C3-4 and C4-5 by bulging disc without prominent signal changes in T2-weighted (A and C) and T1-weighted enhanced images (B and D).

Follow up cervical cord MRI 17 days after the onset shows increased signal intensities in T2-weighted images (A and C, arrow heads) as “eyes of owl” pattern (D, arrows).