Clinical Presentation The patient is a 21-year-old man who has had neurologic symptoms for about 2 years. Initially, he had trouble holding a pen in the right hand. Over time,…

Clinical Presentation The patient is a 70-year-old woman with a long history of progressive neck pain and bilateral shoulder pain, right more than left, and right arm numbness. She has…

Clinical Presentation The patient is a 68-year-old man who presented with back and leg pain. Patient has a history of two L1-L2 lumbar diskectomies. He did not have much improvement…

Clinical Presentation The patient is a 62-year-old man with 3-year history of progressive neck pain, low back pain, bilateral shoulder pain, proximal muscle pain and weakness, and paresthesias. The patient…

Clinical Presentation The patient is a 73-year-old woman with a history of old fracture of the T12 vertebra secondary to prior motor vehicle accident. Patient was treated at the time…

Clinical Presentation The patient is an 81-year-old woman who has a long history of intermittent low back pain for more than 15 years. She states that she has developed difficulty…

Clinical Presentation The patient is a 70-year-old man who had open surgical repair of an abdominal aortic aneurysm with bilateral aortoiliac bypass graft, bypass of the right renal, and surgical…

Clinical Presentation The patient is a 71-year-old man with small cell lung cancer and known brain metastases who presents with new onset of right-sided weakness and sensory disturbances. His symptoms…

Clinical Presentation The patient is a 60-year-old woman complaining of headache, imbalance, lightheadedness, and left-leg numbness. She also complains of increasing numbness in her hands with some hand discoordination. She…

Clinical Presentation The patient is a 77-year-old man who presented with chronic low back pain. The patient has had progressive low back pain with radiation into both hips and buttocks…