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Figure 1. A 62-year-old man presented to the hospital with an inability to walk unaided. He had noticed progressive weakness of his legs over the previous two weeks and had a three-month history of thoracic back pain, night sweats, and a weight loss of 10 kg. He had no history of tuberculosis. On examination, the patient was afebrile, had bilateral cervical and axillary lymphadenopathy, and had a tender kyphotic deformity of the midthoracic spine. There was increased muscular tone and brisk deep-tendon reflexes in both legs; the plantar reflexes were flexor. Sensitivity to pinprick and light touch was reduced . . . [Full Text of this Article] |
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