Abstract
A 64-year-old right-handed woman presented to an outside hospital with a 1-week history of weakness noted while walking. She reported bilateral weakness greater on the right, and several falls. She denied lower extremity numbness. Her medical history was significant for lower-back osteoarthritis and a 20 pack-year smoking history. She denied constitutional symptoms. Her examination on admission was notable for 4/5 right gastrocnemius strength and unsteady gait. The authors thank Dr. Hal Blumenfeld for review of the manuscript.
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