LOL, it’s not funny!

Author: Noordeen Sathakathulla / Editor: Nick Tilbury / Codes: Published: 14/12/2020 / Review Date: 14/12/2023

An 18-year-old male is brought to the emergency department by his mother complaining of a 1-week history of worsening weakness of both lower limbs, a tingling sensation in both hands and an unsteady gait. He denies any bowel or bladder abnormalities or recent trauma.

His past medical history is unremarkable and he denies taking any alcohol or recreational drugs in the last 4 weeks.

His initial observations and GCS are stable.

On examination he has bilateral lower limb power of 4/5,  an ataxic gait, decreased deep tendon reflexes, mildly decreased sensation in the lower limbs and a positive Rombergs test. The rest of the systemic examination is unremarkable.

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