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.
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Hint
Physical examination reveals Babinski signs bilaterally.
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Author:
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N. Shaikh, MD, and S. Singh, MD
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Mercy Catholic Medical Center- Mercy Fitzgerald Hospital
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Associate Editor:
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Joanne Connaughton, MD
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Mercy Catholic Medical Center- Mercy Fitzgerald Hospital
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eMedicine Editor:
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Sat Sharma, MD
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Associate Professor, University of Manitoba, Department of Medicine, Division of Pulmonary Medicine
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