A 52-Year-Old Man With Progressive Weakness and Incontinence. (April 2022)

• Record Type: Journal Article
• 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
• Is Part Of: Neurohospitalist. Volume 12:Number 2(2022)
• Page Start: 307
• Page End: 311
• Publication Date: 2022-04
• Subjects: myelitis -- central nervous system infections -- stroke -- cerebrovascular disorders -- general neurology -- clinical specialty -- medical oncology -- neurooncology; Nervous system -- Diseases -- Periodicals; Neurology -- Periodicals; 616.8
• DOI: 10.1177/19418744211039586
• Languages: English
• ISSNs: 1941-8744

Abstract

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.