A 52-Year-Old Man With Progressive Weakness and Incontinence.

Ayse AltintasAyca Ersen DanyeliSubutay Berke BozkurtSanem Pinar UysalSergin AkpekMurat Serhat AygunOlga Meltem AkayBulent KahyaogluSelcuk PekerUmit Barbaros UreBurhan Ferhanoglu

Published in: The Neurohospitalist (2021)

Here we report a challenging case of a 52-year-old man presenting with subacute constipation, urinary retention, impotence, absent Achilles reflexes, and hypoesthesia in S2-S5 dermatomes. We review the clinical decision-making as the symptoms evolved and diagnostic testing changed over time. Once the diagnosis is settled, we discuss the sign and symptoms, additional diagnostic tools, treatment options and prognosis.

Keyphrases

decision making
multiple sclerosis
sleep quality
case report
irritable bowel syndrome