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Rhabdomyolysis Masquerading as Cauda Equina Syndrome

Lower back pain is a very common presenting condition, with a large proportion resulting from discogenic causes, especially after strenuous activity. In patients with a history of exertion, lower back pain, and acute urinary retention, the obvious diagnosis to exclude would be cauda equina syndrome....

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Detalles Bibliográficos
Autores principales: Tan, Beatrice, Kon, Charles, Loh, Sean, Ng, Louis, Lum, Vincent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001814/
https://www.ncbi.nlm.nih.gov/pubmed/35464562
http://dx.doi.org/10.7759/cureus.23048
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author Tan, Beatrice
Kon, Charles
Loh, Sean
Ng, Louis
Lum, Vincent
author_facet Tan, Beatrice
Kon, Charles
Loh, Sean
Ng, Louis
Lum, Vincent
author_sort Tan, Beatrice
collection PubMed
description Lower back pain is a very common presenting condition, with a large proportion resulting from discogenic causes, especially after strenuous activity. In patients with a history of exertion, lower back pain, and acute urinary retention, the obvious diagnosis to exclude would be cauda equina syndrome. We present a case of a 32-year-old man who presented with lower back pain, bilateral lower limb weakness, and acute urinary retention following a recent episode of heavy lifting. He was subsequently diagnosed with rhabdomyolysis. This case highlights that rarer conditions can masquerade as cauda equina syndrome, and even in seemingly straightforward presentations, alternative diagnoses should also be considered.
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spelling pubmed-90018142022-04-23 Rhabdomyolysis Masquerading as Cauda Equina Syndrome Tan, Beatrice Kon, Charles Loh, Sean Ng, Louis Lum, Vincent Cureus Internal Medicine Lower back pain is a very common presenting condition, with a large proportion resulting from discogenic causes, especially after strenuous activity. In patients with a history of exertion, lower back pain, and acute urinary retention, the obvious diagnosis to exclude would be cauda equina syndrome. We present a case of a 32-year-old man who presented with lower back pain, bilateral lower limb weakness, and acute urinary retention following a recent episode of heavy lifting. He was subsequently diagnosed with rhabdomyolysis. This case highlights that rarer conditions can masquerade as cauda equina syndrome, and even in seemingly straightforward presentations, alternative diagnoses should also be considered. Cureus 2022-03-10 /pmc/articles/PMC9001814/ /pubmed/35464562 http://dx.doi.org/10.7759/cureus.23048 Text en Copyright © 2022, Tan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Tan, Beatrice
Kon, Charles
Loh, Sean
Ng, Louis
Lum, Vincent
Rhabdomyolysis Masquerading as Cauda Equina Syndrome
title Rhabdomyolysis Masquerading as Cauda Equina Syndrome
title_full Rhabdomyolysis Masquerading as Cauda Equina Syndrome
title_fullStr Rhabdomyolysis Masquerading as Cauda Equina Syndrome
title_full_unstemmed Rhabdomyolysis Masquerading as Cauda Equina Syndrome
title_short Rhabdomyolysis Masquerading as Cauda Equina Syndrome
title_sort rhabdomyolysis masquerading as cauda equina syndrome
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9001814/
https://www.ncbi.nlm.nih.gov/pubmed/35464562
http://dx.doi.org/10.7759/cureus.23048
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