Case 19
Clinical History:
A 74 year-old male was admitted with several months of low back pain radiating into both legs and progressive difficulty in ambulation. He was taking no medications and had a forty pack per year smoking history.
Physical examination was remarkable only for mild (4/5) muscle weakness in both legs and loss of deep tendon reflexes at the ankles.
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J. Anthony Parker, MD PhD, jap@nucmed.bih.harvard.edu
