A 45 year old female presents with a complaint of ...

RS’s presentation of acute progressively worsening low back pain with signs of focal neurologic deficits (weakness on his right side of the great toe extensor, hip extensor and abductor), upper motor neuron lesions (hyperreflexia in the right patellar, positive Babinski sign bilaterally), elevated total protein of 9.4 and a lytic L4 pedicle ... ................
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