Gait ataxia as a presenting symptom of malignant epidural spinal cord compression

A 68 year old man with prostatic carcinoma developed spinal cord compression. The sole presenting feature was painless gait ataxia indistinguishable from cerebellar ataxia. He was investigated for cerebellar disease but the correct diagnosis was made when he subsequently presented with paraplegia an...

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Bibliographic Details
Published in:Postgraduate medical journal 1986-08, Vol.62 (730), p.745-747
Main Authors: Karp, S. J., Ho, R. T.
Format: Article
Language:English
Subjects:
Adenocarcinoma - complications
Adenocarcinoma - secondary
Aged
Ataxia - etiology
Gait
Humans
Male
Spinal Cord Compression - complications
Spinal Cord Neoplasms - complications
Spinal Cord Neoplasms - secondary
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Summary:A 68 year old man with prostatic carcinoma developed spinal cord compression. The sole presenting feature was painless gait ataxia indistinguishable from cerebellar ataxia. He was investigated for cerebellar disease but the correct diagnosis was made when he subsequently presented with paraplegia and classical signs of spinal cord compression. Surgical decompression failed to produce neurological recovery. We discuss the importance of recognizing this unusual presentation of spinal cord compression, its possible mechanism and evidence that it may be under-reported.
ISSN:0032-5473
1469-0756
DOI:10.1136/pgmj.62.730.745