Case 42

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 42

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  • Neurosurgery
  • Clinical Radiology
  • Surgical Oncology


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A 47-year-old accountant is referred by his GP with 3 months of ascending numbness that began in his toes and spread upwards towards his umbilicus. He was initially investigated for diabetes and presumed peripheral neuropathy, but fasting blood glucose was normal (4.7 mmol/l). He has had stiffness in his legs which is troublesome first thing in the morning. His bladder and bowel function are normal and he reports no symptoms in his upper limbs.

Chapter.  2241 words.  Illustrated.

Subjects: Neurosurgery ; Clinical Radiology ; Surgical Oncology

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