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Progressive necrosis of the conus medullaris: magnetic resonance imaging and surgical findings
Authors:B de Toffol  P Cotty  B Gaymard  S Velut
Affiliation:Département des Sciences Neurologiques, Centre Hospitalier Universitaire Bretonneau, Tours, France.
Abstract:A 67-year-old man with non-insulin-dependent diabetes mellitus progressively developed, over a 2-year period, lower extremity sensory and motor defects associated with impaired bladder function and perineal and perianal sensation related to a disease of the conus medullaris extending from T12 to S5. The magnetic resonance imaging scan suggested myelomalacia and the diagnosis of progressive necrotic myelopathy was confirmed by surgical intervention.
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