Ace This Rare Case of Co-existence of Metabolic Bone Disease and Neurological Deficit

Solve exciting clinical cases specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge! Case presentation A 75-year-old woman reported to the outpatient clinic with lower back pain (visual analog scale [VAS] 8/10) along with progressive weakness in lower limbs.

She also had urinary complaints of trouble initiating micturition and incontinence. Clinical examination Axial tenderness in the lumbar spine Paraspinal muscle spasm Neurological investigation  Bilateral tibialis anterior power - 3/5 Extensor hallucis longus - 3/5 Hypoesthesia in the saddle and perineal region   Radiological findings                                                                                           Source: Journal of Orthopedic Case Reports Figure 1. Positron emission tomography-computed tomography (PET-CT) of (a) left…