Letter to Editor
Man-in-the-Barrel Syndrome as an Atypical form of Amyotrophic Lateral Sclerosis
Jacqueline Fernandes DO NASCIMENTO1, Marco Orsini2*, Marcos RG de Freitas3, Nicole Nunes1, Marco Azizi1, Eduardo Rodrigues Davidovich3, Janie Fernandes DO NASCIMENTO1, Acary Bulle Oliveira4,Renata Castro1, Marco Azizi1 and Antônio Marcos da Silva Catharino1
1Iguaçu University - UNIG/RJ, Nova Iguaçu, Brazil
2Fluminense Federal University (UFF), Iguaçu University (UNIG) RJ, Brazil
3Fluminense Federal University (UFF) - RJ, Brazil
4Federal University of São Paulo (Unifesp) - SP, Brazil
Marco Orsini, Rua Professor Miguel Couto 322, 1001, Jardim Icarai, Niterói, RJ, Brazil.
Received Date: August 27, 2020; Published Date: September 10, 2020
Letter to Editor
TMF, 58 years old, retired, reports that for approximately two years she has been showing amyotrophy, fasciculations and paresis in the upper limbs and pectoral girdle (Figures 1-2). Lower limbs with muscle strength grading 4, in addition to live reflexes. The electroneuromyography demonstrated a pre-ganglionic\purely motor chronic peripheral neurogenic involvement in the four limbs without conduction block. After excluding other possible diagnoses, it is an atypical case of Amyotrophic Lateral Sclerosis presenting as “Barrel Man” syndrome. Such nomenclature refers to a picture of bilateral brachial paresis that disables patients in basic and instrumental activities of daily life that requires elevation of the upper limbs. Since its description, there are some cases of patients with this syndrome, of varying etiologies (Figure 1 & 2).


Conflict of interest
No conflict of interest.
Acknowledgement
None.
References
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Marco Orsini. Man-in-the-Barrel Syndrome as an Atypical form of Amyotrophic Lateral Sclerosis. 8(5): 2020. ANN.MS.ID.000697.
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Behaviors, Mental disorders, Aggressive behaviors, Mental Health Patient, Jordanian psychiatric sitting, Jordanian psychiatric centers.
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