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Case #30: MRI L-Spine:
normal CC: Bilateral lower extremity
numbness HX: 21 y/o RHM complained of gradual
onset numbness and incoordination of both lower extremities
beginning approximately 11/5/96. The symptoms became maximal
over a 12-24 hour period and have not changed since. The
symptoms consist of tingling in the distal lower extremities
approximately half way up the calf bilaterally. He noted
decreased coordination of both lower extremities which he
thought might be due to uncertainty as to where his feet
were being placed in space. He denied bowel/bladder
problems, or weakness or numbness elsewhere. Hot showers may
improve his symptoms. He has suffered no recent flu-like
illness. Past medical and family histories are unremarkable.
He was on no medications. EXAM: unremarkable except for mild
distal vibratory sensation loss in the toes
(R>L). LAB: CBC, Gen Screen, TSH, FT4, SPE,
ANA were all WNL. MRI L-Spine: normal COURSE: normal exam and diminished
symptoms at following visit 4/23/93.
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