Case of the Week
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
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June 22, 2023
A 57-year-old woman presents with a 1-year history of progressive neurologic decline involving the lower extremities, worsening back pain, and recent onset of bowel and bladder dysfunction. She also has burning and numbness of the lower extremities and has become unable to ambulate without assistance. On clinical examination, she has profound gait imbalance and significant lower extremity weakness. Past medical and family history is unremarkable.
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