ArticleCureus2021
"Person-in-the-Barrel" Syndrome: A Case Report of Bilateral Arm Paresis Due to Vasculitis With a Review of Pathological Mechanisms.
Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- Bilateral Brachial Plexopathy: Could It Be 'Man in the Barrel' Syndrome?Indian journal of orthopaedics · 2026Article
- Between the Borders: Balint Syndrome as a Rare Manifestation of Posterior Circulation Stroke.Cureus · 2025Article
- Man-in-the-Barrel Syndrome Secondary to Idiopathic Acute Anterior Spinal Artery Infarction.Cureus · 2023Article
- Article
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
"Person-in-the-barrel" syndrome is a descriptive term for bilateral arm (brachial) paresis in the absence of lower extremity (crural) weakness or bulbar (medullary) weakness. This phenomenon is associated with various descriptive terms such as "distal field infarction", "flail limbs", and "cruciate paralysis". Arriving at a specific diagnosis is a fascinating exercise in anatomical localization. Strategic lesions involving the watershed zones of the motor frontal lobes and the pyramidal decussation at the cervico-medullary junction are the classic sites of injury. However, peripheral causes such as motor neuron disease, mononeuritis multiplex (vasculitis), bilateral brachial plexopathy, and critical illness myopathy have been sporadically reported and can stochastically inflict the motor nerves or muscles of the upper extremities. In this report, we present a case of vasculitis with weakness restricted to the upper extremities and also delve into the neuropathological mechanisms of "person-in-the-barrel" syndrome.
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Registered trials
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