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A 56year old director of a drug rehabilitation centre presentedwith a non-traumatic, subacute, painful, right sided lower cervicalradiculopathy. As well as a weak hand and C8-T1 sensory loss,she complained of "electric current shocks" from the clavicleto the both knees, and interscapular pain with coughing. Therewere no constitutional symptoms, heart murmurs, fever, or peripheralblood inflammatory markers. Two samples of imaging are illustratedapost gadolinium coronal T1 MRI (A) and an axial CT scan withbone window settings at the C7 level (B). What are the radiologicalabnormalities? Which other diagnostic test provided a clearway forward? How was she treated? Andrew Chancellor, Tauranga,New Zealand
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A29 year white man presents with a 1 day history of increasingheadache, aching thighs, a painful left arm, . . . [Full text of this article]