Man-in-the-barrel syndrome

Jacob I. Sage, Robert L. Van Uitert

Research output: Contribution to journalArticlepeer-review

62 Scopus citations


In a prospective study of 34 comatose patients who had an episode of systemic hypotension, 11 had the “man-in-the-barrel” syndrome (MIB). They moved both legs spontaneously or in response to pain, but did not move either arm. One of 11 patients (9%) with MIB survived to leave the hospital; 8 of the 23 patients (35%) without MIB recovered. Of patients who moved at least one limb to pain and had intact pupillary, corneal, and oculocephalic reflexes 24 hours after insult, one of nine (11%) patients with MIB survived, compared with six of nine patients (67%) without MIB. MIB is common after cerebral hypoperfu-sion and carries a poor prognosis.

Original languageEnglish (US)
Pages (from-to)1102-1103
Number of pages2
Issue number8
StatePublished - Aug 1986

All Science Journal Classification (ASJC) codes

  • Clinical Neurology


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