Progressive necrosis of the conus medullaris: magnetic resonance imaging and surgical findings.

de Toffol, B; Cotty, P; Gaymard, B; Velut, S · Neurosurgery · 1990

case_report · Level V

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Abstract

A 67-year-old man with non-insulin-dependent diabetes mellitus progressively developed, over a 2-year period, lower extremity sensory and motor defects associated with impaired bladder function and perineal and perianal sensation related to a disease of the conus medullaris extending from T12 to S5. The magnetic resonance imaging scan suggested myelomalacia and the diagnosis of progressive necrotic myelopathy was confirmed by surgical intervention.

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