Document Detail


Spontaneous conus medullaris infarction in a 79 year-old female with cardiovascular risk factors: a case report.
MedLine Citation:
PMID:  22457542     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To detail the case of a 79 year-old female who presented with sudden bilateral neurological deficits of the lower extremities and was later diagnosed with non-traumatic conus medullaris infarction. The purpose of this case report is to inform primary contact practitioners of the presentation, diagnosis and the associated risk factors of this condition in order to facilitate prompt management.
CLINICAL FEATURES: Spinal cord infarction presenting as low back pain with a high degree of bilateral loss of motor strength, sensation and reflexes in the lower extremities and bowel/bladder dysfunction, in a patient with previous coronary artery bypass graft surgery and renal insufficiency.
INTERVENTION AND OUTCOME: Referral to emergency within hours of symptom onset allowed for immediate assessment, management and relatively favourable partial recovery.
SUMMARY: Although rare, conus medullaris infarction is potentially devastating and requires an appropriate clinical index of suspicion for timely diagnosis, treatment and optimal neurological recovery.
Authors:
Jessica J Wong; John Dufton; Silvano A Mior
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Canadian Chiropractic Association     Volume:  56     ISSN:  0008-3194     ISO Abbreviation:  J Can Chiropr Assoc     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-03-29     Completed Date:  2012-08-23     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  7507184     Medline TA:  J Can Chiropr Assoc     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  58-65     Citation Subset:  -    
Affiliation:
Department of Graduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
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