Re: spinal av-malformation

From: DoctorJoe@aol.com
Mon May 29 22:21:02 2000


In a message dated 5/29/00 6:13:02 PM, nd84md@aol.com writes:

>the well known "a little knowledge is dangerous" law is in play here.
>a
>very healthy 34 yo dance instructor came in for a gyn check and
>mentioned that she was having "a spell of clumsiness". i did my routine
>neuro exam that in 10 years has never shown any positive findings. well,
>this lady actually was unable to put her heel to her shin and had a
>positive Romberg's sign (she fell back when she closed her eyes). she
>was also complaining of some back pain, so i figured she had a disc
>problem and ordered an MRI. it came back with "possible A-V
>malformation at level of the conus". great. now what? i figure i'll
>refer off to a neurologist, but has anyone else seen an AVM at this
>level of the CNS? any pearls? Thanks

Just goes to show you what a dumb gynecologist can do when he examines a patient. Not only can we be REAL DOCTORS, we can deliver babies, too!!!!

Good job, Dr. S!

Joe P.





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