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A 35-year-old male presented with lower back pain, progressive weakness of the ankles, loss of pain, temperature and touch sensation on the medial aspect of the legs, dorsum of the foot and soles, and urinary urgency, frequency and urge incontinence. Ankle dorsiflexors and plantar flexors showed grade 4/5 power with only minimal weakness of knee extension. Bilateral ankle jerks were diminished. Bilateral L3–S1 dermatomes showed 50–70% …
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