A 52-Year-Old Man With Progressive Weakness and Incontinence

Here we report a challenging case of a 52-year-old man presenting with subacute constipation, urinary retention, impotence, absent Achilles reflexes, and hypoesthesia in S2-S5 dermatomes. We review the clinical decision-making as the symptoms evolved and diagnostic testing changed over time. Once th...

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Bibliographic Details
Published in:Neurohospitalist 2022-04, Vol.12 (2), p.307-311
Main Authors: Altintas, Ayse, Danyeli, Ayca Ersen, Bozkurt, Subutay Berke, Uysal, Sanem Pinar, Akpek, Sergin, Aygun, Murat Serhat, Akay, Olga Meltem, Kahyaoglu, Bulent, Peker, Selcuk, Ure, Umit Barbaros, Ferhanoglu, Burhan
Format: Article
Language:English
Subjects:
Clinical Problem Solving
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Summary:Here we report a challenging case of a 52-year-old man presenting with subacute constipation, urinary retention, impotence, absent Achilles reflexes, and hypoesthesia in S2-S5 dermatomes. We review the clinical decision-making as the symptoms evolved and diagnostic testing changed over time. Once the diagnosis is settled, we discuss the sign and symptoms, additional diagnostic tools, treatment options and prognosis.
ISSN:1941-8744
1941-8752
DOI:10.1177/19418744211039586