Abstract

A 70-y-old man was hiking in the Slovenian Alps in summer. On the fifth day of walking in a mountain area at around 1700 m, he started to feel ill. After a few minutes, he felt that he was walking with an abnormal posture. He tried to walk standing straight using hiking poles (Figure 1). A companion noticed that he was walking leaning to the left. The patient said that he had diffuse soreness in his back that may have been caused by his heavy backpack or by fatigue. He denied headache, dyspnea, weakness, and difficulty with coordination.

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