Patient is known diabetic and hypertensive. Had many complications before presentation, like repeated development of diabetic feet and multiple ray amputations for it , mild retinopathy and nephropathy, on insulin therapy for last one month.
Current Issue:
Developed sudden onset urinary retention and it was followed minutes after by rapid onset parapalegia. His power is 0/5 in both lower limbs, absent ankle but exaggerated knee reflexes. A sensory level to painful stimulus of T5. Plantars could not be assessed.
?What could be the diagnosis?
Currently we are thinking on the lines of Anterior Spinal Artery Syndrome, and his MRI spinal cord is awaited.
Friday, May 4, 2007
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