2/24/2004 Case 2: Intramedullary cavernous angioma

Clinical History:

Patient was a 66 year old woman who came to ER because of shortness of breath due to congestive heart failure. She was admitted and while she was standing and talking to a nurse she suddenly experienced severe low back pain and her legs started to shake. She managed to walk a few feet to her bed. Neurological examination showed bilateral lower limb weakness (UE 5/5; LE 0/5) with spinal sensory level at T9. DTRs were absent in lower extremities and plantars were mute. Patient was incontinent of urine.

Patient had past episodes of back pain, leg pain and falls. She was told that she had "sciatica". Patient expired one month after this admission due to lower GI bleed, sepsis and multiorgan failure.

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