Acute cervical cord injury complicating Klippel-Feil deformity and mimicking ‘man in the barrel’ syndrome

This case illustrates the need to recognize a high cervical cord injury as a cause for bi-brachial weakness with intact bi-crural power, a pattern termed aptly by Sage as 'man in the barrel' syndrome. The patient who had an undiagnosed Klippel-Feil deformity had incurred his cervical injury after a collapse.