Case of April 2017

 

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Clinical History:


A 63-year-old gentlemen with a chronic condition presented with progressive lower limb numbness and constipation for 2 years.  Physical examination revealed lower limb hyporeflexia and decreased light touch sensation at left L4 to S1, right L3. MRI was performed.


Fig 1a

Fig 1b


Figure 1. Sagittal T2W images


Fig 2a

Fig 2b

Fig 2c


Figure 2. Axial T2W images