Lesson of the month 2: Cauda equina in Cushing's syndrome

Clinical Medicine : Journal of the Royal College of Physicians of London
Douglas MaslinPippa Corrie

Abstract

We present the case of a 34-year old woman who initially presented with obesity and back pain. She was eventually diagnosed with Cushing's syndrome secondary to an adrenocortical carcinoma that had metastasised to her spine, causing cauda equina compression. The delays in reaching the correct diagnosis caused significant morbidity and exemplify the pitfalls of premature closing, a common cognitive error in diagnostic reasoning.

References

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Mar 22, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Maurits van TulderUNKNOWN COST B13 Working Group on Guidelines for the Management of Acute Low Back Pain in Primary Care
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Citations

Jan 16, 2017·Diagnostic Pathology·Fernando Candanedo-GonzalezArmando Gamboa-Dominguez

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