A 13-year-old male with lower extremity weakness | Sub-classification: Spine
A 13-year-old male presents with a six month history of difficulty walking. There is no history of trauma, malignancy, or other medical problems. He states that his legs feel “tight” and that the left leg is numb. He does not endorse upper extremity problems or incontinence of bowel or bladder.
Cranial nerves II-XII are intact
DTRs – 3+ upper and lower extremities
+ Clonus left lower extremity
Decreased sensation in left lower extremity
Mildly spastic gait
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SANS Pediatric Module