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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 337:1829-1837 December 18, 1997 Number 25
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Case 39-1997— A 67-Year-Old Woman with the Cauda Equina Syndrome
Tracy T. Batchelor, and David N. Louis

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Presentation of Case

A 67-year-old woman was admitted to the hospital because of back pain and weakness of the legs.

She had a long history of intermittent lumbar pain, with radiation to both hamstring muscles. During the two months before admission, the back pain worsened and was accompanied by weakness of the legs. Two weeks before admission, she was admitted to another hospital, where an examination showed reduced leg strength, with diminished reflexes. Chest radiographs showed atelectasis or infiltration in the left lower lobe. Radiographs of the spine showed narrowing of the L3–4 and L4–5 disk spaces. Oxycodone–acetaminophen was given but caused confusion . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Tracy T. Batchelor's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References


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