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A 76-year-old woman presented with a 3-month history of bilateral numbness and tingling in her hands and feet. She also noted tingling along her spine on forward flexion of the neck (Lhermitte's sign). Her gait was unsteady, particularly when walking in the dark. She noted progressive difficulty with memory. She reported no changes in her bowel and bladder habits, vision, speech, or hearing. On examination, there were areas of hypoesthesia to light touch, extending from the wrist to the fingertips, the palmar surfaces of both hands, and over the toes in both feet. Vibratory and joint-position sensations were decreased bilaterally . . . [Full Text of this Article] |
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