Wk 9, Case 3 - Practice

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20 year-old Male with a skin lesion of the back of the neck who presented to clinic with 3 weeks of progressively worsening weakness of his left lower extremity. The patient and his parents indicate that approximately 3 weeks ago he started requiring lifting his leg with his hands when he was moving from his wheelchair and standing has been significantly difficult. He had 3/5 strength in his left lower extremity on exam, a positive Babinsky sign and clonus at the left ankle.

What is the most likely diagnosis?

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Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Joshua P Nickerson, MD

Associate Professor of Neuroradiology

Oregon Health & Science University

Francis Deng, MD

Assistant Professor of Radiology and Radiological Science

Johns Hopkins University School of Medicine

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Wk 9, Case 3 - Practice