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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A 34-year-old man was admitted to the emergency department with complaints of progressive weakness of the lower extremities and urinary incontinence. His symptoms had worsened rapidly over a period of 3 months preceding admission. Physical examination revealed proximal weakness and exacerbated reflexes in the lower extremities without radicular pain.