Clinical Reasoning: A 62-Year-Old Man With Symmetric Saddle Hypoesthesia and Sphincter Dysfunction.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 40354582.
- Also identified by DOI 10.1212/WNL.0000000000213712.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
A 62-year-old man presented with acute onset of symmetric burning dysesthesias in the buttocks, accompanied by saddle hypoesthesia and bladder, bowel, and sexual dysfunction. Initially, the clinical presentation was suggestive of cauda equina syndrome. However, the initial contrast-enhanced lumbar MRI revealed no evidence of extrinsic compression or enhancement of the lumbosacral nerve roots or conus medullaris. Further diagnostic workup uncovered a rare etiology, highlighting the importance of considering uncommon causes in the case of acute conus medullaris syndrome.
Medical subject headings
- Hypesthesia
- Clinical Reasoning
- Spinal Cord Compression