Man-in-the-barrel syndrome with oculomotor apraxia following carotid surgery

The man in the barrel syndrome [MIBS] is charactcrised by weakness of both arms with normal functioning of legs and is usually associated with a high mortality. A 75 year old man developed MIBS with ocular motor apraxia following a left carotid endarterectomy. Over the next six month there was good functional recovery of the arms and ocular movements. At one year follow up there had been almost complete recovery