Presentation

History of tingling sensation in all extremities and burning sensation in bilateral soles; weakness and difficulty walking for 1 week. Physical exam reveals decreased light touch and pinprick sensation in all extremities with distal to proximal gradient. Decreased vibration sense in both feet. Hyporeflexia in upper limbs and absent reflexes in both lower limbs. Rhomberg sign weakly positive. No bladder or bowel incontinence.

Patient Data

Age: 20 years
Gender: Female
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