• Clin Med (Lond) · Feb 2016

    Case Reports

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

    • Douglas Maslin, Ioannis Gounaris, Kenrick Ng, and Pippa Corrie.
    • Oncology, Addenbrooke's Hospital, Cambridge, UK dlm37@cam.ac.uk.
    • Clin Med (Lond). 2016 Feb 1; 16 (1): 889088-90.

    AbstractWe 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.© Royal College of Physicians 2016. All rights reserved.

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