A 45-year old man complains of numbness of his left thigh. He feels his balance may be poorer than usual but is not sure of this. He has put on 6.25 kg (1 stone) in weight over the past 6 months. He has mild, chronic, low back pain. There is a family history of a neurological condition, in that his father’s brother is said to have multiple sclerosis. On examination he is overweight. He has some reduction of pinprick sensation over the anterior part of his thigh on the left, with no motor signs. Tendon reflexes are normal. There are no cerebellar signs. What is the most likely diagnosis? Sporadic multiple sclerosis (MS) Familial multiple sclerosis Lumbar canal stenosis with nerve root entrapment Meralgia paraesthetica Inflammatory disease of the lumbosacral plexus
Posted on: Tue, 22 Jul 2014 21:19:03 +0000