Pain in Lower Extremities in a Patient with Spina Bifida and Spinal Dysraphism
Iftekharul Haq, Mohammed A. Rana
Department of Neurosurgery, Thunder Bay Regional Hospital, Lakehead University Thunder Bay, Ontario, Canada
A 55 year old right handed male presented to the neurosurgical service with chief complaint of aching pain in both calves. The pain was located in his shins below the knees. The pain occurred late in the evenings and increased before going to bed. His pain interfered with falling asleep, however, once he was asleep there was no pain. In the daytime, he had no pain in the lower extremities. These symptoms started about three years ago and gradually worsened. He denied any weakness, sensory numbness, tingling, bowel-bladder problems, or gait difficulty. He could walk unlimited distances.
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