A 65 year old patient presents with weakness in the arms and legs including difficulty with fine motor control of his fingers. He has neck pain, numbness, and tingling that radiates to the arms. When he enters your office, you notice an odd walk: he has high steps and stamps down with his heel followed by the sole of his foot. The gait is slightly wide-based. His wife says his walk becomes a lot worse in the dark.
Challenge: What's your diagnosis?
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Cervical spodylosis
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Neck
This is cervical spondylotic myelopathy, which results from central spinal canal stenosis. The walk reflects an impairment in proprioception.
Source: UpToDate.
central spinal stenosis from multilevel disc osteophyte compelx.
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