Case 23

Harutomo Hasegawa, Matthew Crocker and Pawan Singh Minhas

in Oxford Case Histories in Neurosurgery

Published on behalf of Oxford University Press

Published in print March 2013 | ISBN: 9780199599837
Published online April 2013 | e-ISBN: 9780191753503 | DOI:

Series: Oxford Case Histories

Case 23

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A 60-year-old man presented with a 2-month history of progressive unsteadiness. He reported having a painful sensation over the previous 18 months which began in the feet and gradually ascended in the legs. Intermittently, he also found it difficult to pass urine. His medical history was unremarkable and he was not on regular medication. On examination, he was alert and orientated. In the lower limbs, the tone was increased, power was normal, and reflexes were brisk. Proprioception was impaired bilaterally in the toes and plantars were upgoing bilaterally. Romberg's test was negative and there were no cerebellar signs. A sensory level was identified at the level of T3. The upper limbs were normal.

Chapter.  1088 words.  Illustrated.

Subjects: Neurosurgery ; Clinical Radiology

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