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

VURAL G., Gumusyayla S., Bektas H., AKDENİZ G., Komurcu H. F. , DENİZ O.

JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION, vol.69, no.5, pp.725-727, 2019 (Peer-Reviewed Journal) identifier

  • Publication Type: Article / Editorial Material
  • Volume: 69 Issue: 5
  • Publication Date: 2019
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.725-727


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.