This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Hematology/ Hematologic Malignancies  • Leukemias/ Lymphomas  • Immunologic Disorders  • Alert me on articles by topic

Arch Neurol. 2005;62:1776.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypertrophy of the cauda equina nerve roots is a nonspecific finding and may be seen in hereditary and acquired demyelinating neuropathies or due to infiltration of the nerve roots by malignancy. We describe a patient with hypertrophy of the cauda equina nerve roots as a likely paraneoplastic phenomenon.

A 60-year-old man was seen for a 3-year history of progressive distal lower limb paresthesias. For 18 months before his evaluation, he had been symptomatic with gait difficulty that would increase in the dark. Walking for prolonged distances was accompanied by leg weakness, heaviness, and numbness, all of which would improve on sitting down. On examination, he had mild weakness of the distal aspect of the lower limb muscles with marked loss of vibration and moderate loss of position perception in the toes. Perception of light touch and pin prick were intact. His lower limb reflexes were absent, he had a flexor . . . [Full Text of this Article]

AUTHOR INFORMATION

Neeraj Kumar, MD; P. James B. Dyck, MD