Feature Christmas 2014: Gastroenterological Tracts

A means of measuring serial changes in anal sphincter tone in patients with spinal cord compression

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g7550 (Published 16 December 2014) Cite this as: BMJ 2014;349:g7550
  1. D Mark Chaput de Saintonge, retired general physician and senior lecturer in medical education
  1. 1Pembury, Kent TN2 4JD, UK
  1. david.chaput{at}zen.co.uk

I wish to report a simple, serial measurement of the response to radiotherapy of spinal cord compression.

The patient, a 71 year old man with a five year history of spinal deposits of metastatic prostatic carcinoma, complained of unsteadiness and paraesthesia in his feet increasing over a five day period. Tendon and anal reflexes were intact. Magnetic resonance imaging …

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