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Weakness: Delay in Diagnosis Can Be Disastrous  



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BACKGROUND
A 34-year-old African American woman presents to the emergency department with a 1-day history of lower-back pain, bilateral lower-extremity weakness, and an inability to walk. Her symptoms began with numbness and weakness in her right leg; however, the symptoms progressed quickly to the left leg. The woman has a history of hepatitis C. She has no history of back trauma.
Hint
Physical examination reveals Babinski signs bilaterally.
Author: N. Shaikh, MD, and S. Singh, MD
Mercy Catholic Medical Center- Mercy Fitzgerald Hospital
Associate Editor: Joanne Connaughton, MD
Mercy Catholic Medical Center- Mercy Fitzgerald Hospital
eMedicine Editor: Sat Sharma, MD
Associate Professor, University of Manitoba, Department of Medicine, Division of Pulmonary Medicine
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