A 33-year-old man presented with progressively worsening low-back pain radiating to
his lower extremities bilaterally, difficulty in urinating and defecating, and sexual
dysfunction for the last 4 years. There was no history of trauma or any procedure
on the spine. The neurological examination was significant with regard to reduced
left straight-leg raising to 30 degrees and hypoesthesia in the left L5 dermatome.
Ankle jerks were absent bilaterally. Muscle strength was within normal limits. The
bulbocavernous and anal reflexes were absent. No soft tissue or bone lesions were
observed during the physical examination.
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Article info
Publication history
Accepted:
April 24,
2009
Received:
March 3,
2009
Identification
Copyright
© 2009 Published by Elsevier Inc.
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