Show Summary Details
Page of

Case 47 

Case 47
Chapter:
Case 47
Author(s):

Sarah T Pendlebury

, Philip Anslow

, and Peter M Rothwell

DOI:
10.1093/med/9780192631626.003.0047
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 18 September 2018

Case A An 81-year-old man presented with an 18-month history of progressive difficulty walking and painful paraesthesiae in the soles of his feet. His referral was prompted by the development of urinary urgency with mild incontinence and perineal numbness for the preceding 2 months. He described acute excacerbations of his symptoms when his legs became weaker and ‘like jelly’, often occurring after gardening or a hot bath. There was no weight loss and he felt otherwise well. He had a 30-year history of low/mid thoracic back pain that had begun mildly but had progressed very gradually over the years such that it was severe enough at times to interrupt his sleep at the time of presentation. Plain X-rays of the back performed some years previously, had shown nil of note. There was no other past medical history. He was on no medication other than analgesia for the back pain. He was a non-smoker and took little alcohol.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.