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Man-in-the-barrel syndrome.

J I Sage, R L Van Uitert

    Neurology
    |August 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    The "man-in-the-barrel" syndrome (MIB) is a serious condition following systemic hypotension. Patients with MIB have a significantly poorer prognosis for survival and recovery compared to those without the syndrome.

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    Area of Science:

    • Neurology
    • Critical Care Medicine
    • Neuroscience

    Background:

    • Systemic hypotension can lead to severe neurological complications.
    • The "man-in-the-barrel" syndrome (MIB) is a recognized neurological deficit following such events.
    • Understanding the prognosis associated with MIB is crucial for patient management.

    Purpose of the Study:

    • To investigate the incidence and prognosis of the "man-in-the-barrel" syndrome (MIB) in comatose patients after systemic hypotension.
    • To compare survival and recovery rates between patients with and without MIB.

    Main Methods:

    • A prospective study was conducted on 34 comatose patients experiencing systemic hypotension.
    • Patients were assessed for the presence of MIB, characterized by preserved leg movement but absent arm movement.

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  • Survival and recovery outcomes were recorded and compared between MIB and non-MIB groups.

    • Main Results:

    • Eleven of 34 patients (32%) developed MIB.
    • Survival to hospital discharge was significantly lower in patients with MIB (9%) compared to those without MIB (35%).
    • Even among patients with preserved reflexes and limb movement at 24 hours, MIB was associated with a poorer survival rate (11% vs. 67%).

    Conclusions:

    • The "man-in-the-barrel" syndrome is a common complication of cerebral hypoperfusion.
    • MIB is associated with a poor prognosis and significantly reduced survival rates.
    • Early neurological assessments, including reflex and limb movement evaluation, are important for predicting outcomes in these patients.