Scherokman B, Vukelja S
Department of Neurology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4799.
Arch Intern Med. 1988 Feb;148(2):459-60.
Two diabetic patients presented with fecal incontinence, poor rectal sphincter tone, perianal hypoesthesia, and absent Achilles reflexes. These signs suggested the conus medullaris syndrome; however, no mass lesion was found to account for the clinical features. Fecal incontinence can occur in long-standing, insulin-dependent diabetics. Back pain and absence of autonomic and peripheral neuropathy should indicate an etiology other than diabetic neuropathy.
两名糖尿病患者出现大便失禁、直肠括约肌张力差、肛周感觉减退和跟腱反射消失。这些体征提示圆锥综合征；然而，未发现占位性病变来解释这些临床特征。长期依赖胰岛素的糖尿病患者可能会出现大便失禁。背痛以及自主神经和周围神经病变的缺失应提示病因并非糖尿病性神经病变。
