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- W3022371337 abstract "Publisher SummaryThis chapter discusses a medical case of pain in the chest. A 60-year-old lady was admitted to hospital with a rapidly evolving spastic paraparesis. She had been attending a chiropractor for 5 years because of pain between the shoulder blades and a tight band-like sensation around the chest. For 12 months, she had urgency and frequency of micturition and had been incontinent on several occasions, all of which she had ascribed to a vaginal prolapse. Her paraparesis had evolved over 5 days, and the night before admission, she developed retention of urine. On examination, her skin was normal. She was tender over D4. She had a spastic paraparesis with a motor level above the umbilicus but below the T1 innervated muscles. There was a symmetrical sensory level at D10 with sacral sparing. Tendon stretch reflexes were brisk in the lower limbs and normal in the upper limbs. There was sustained clonus at each ankle, and both plantar reflexes were extensor. A history of interscapular and radicular pain and an evolving paraparesis suggested a longstanding structural lesion, not a secondary deposit, lying in the dorsal spinal canal." @default.
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- W3022371337 date "1988-01-01" @default.
- W3022371337 modified "2023-09-23" @default.
- W3022371337 title "Pain in the chest" @default.
- W3022371337 doi "https://doi.org/10.1016/b978-0-407-00544-0.50049-9" @default.
- W3022371337 hasPublicationYear "1988" @default.
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