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The conus demyelination syndrome in multiple sclerosis *
Author(s) -
Taylor Mary C.,
Bradley Willam E.,
Bhatia Narender,
Glick Michael,
Haldeman Scott
Publication year - 1984
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.1984.tb07783.x
Subject(s) - conus medullaris , multiple sclerosis , medicine , hypesthesia , etiology , pathology , spinal cord , surgery , immunology , psychiatry
— Bowel, bladder and sexual dysfunction are common in multiple sclerosis and are generally attributed to the widespread nature of the involvement of the neuroaxis by the demyelinating plaques. Recently we encountered a specific subset of patients within this group who had characteristic clinical complaints of hesitancy, straining and incomplete voiding, perinea! hypesthesia on examination, areflexia by cystometry and colonometry and electrophysiological parameters suggesting involvement of the conus medullaris. This heretofore postulated but undocumented mechanism of neurovisceral dysfunction in multiple sclerosis is detailed and discussed in 2 patients in this report.