History A 69-year-old male was admitted to the Emergency Department in a hospital. He was suffering from upper respiratory illness for the past three days. He presented with nasal discharge , sore throat , chills , and fever . On day 5 post-illness, he complained of weakness and paresthesia in both hands as well as feet. His gait was compromised and unsteady .
He reported that he had a previous medical history of spinal stenosis and chronic back pain . He was prescribed nonsteroidal anti-inflammatory drugs. He refuted any experience of recent mosquito bites and also denied any contact with horses or dead birds. Examination Initial examination revealed that vital signs were within normal limits Neurological examination revealed no meningismus or cranial nerve deficits Symmetrical antigravity (3/5) strength in upper limbs Reduced resistance (4/5) strength in the lower limbs Symmetrical…
