Abstract:A male patient presents with urinary incontinence with worsening in the last year, shock sensation, symmetrical weakness and involuntary spasms in the lower limbs. He currently required double support to ambulate and had no sphincter control. Neurological examination demonstrated lower limb hypertonia and spastic paraplegia with severe impairment of deep sensation and painful muscle spasms. The patient and had normal body mass index and laboratory tests excluded endocrinopathies. MRI showed myelopathy caused b… Show more
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