Physical Address

304 North Cardinal St.
Dorchester Center, MA 02124

Leg Weakness And Numbness


Consult Page

47M with leg weakness, and sensory level

Initial Imaging

Fig. 37.1, Sagittal (A) and axial (B) views of a thoracic spine MRI without contrast demonstrate a large T7-T8 slightly right eccentric, ventral disc herniation, causing severe cord compression.

Walking Thoughts

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    What is the patient’s neurological exam—how weak are his legs? Where is his sensory level?

  • ■

    How long has he had symptoms?

  • ■

    What is the patient’s medical history? Is there any trauma or oncologic history?

  • ■

    Does he have any bowel or bladder dysfunction?

  • ■

    Does he need surgical intervention urgently or emergently?

  • ■

    Is he on any anticoagulation?

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