Abstract
A 37-year-old African American man with history of HTN presented with 3 months history of bilateral leg weakness, headaches, urinary retention and impotence. Initially he started to have headaches. A few weeks later he started complaining of bilateral leg numbness from the umbilicus area to the toes. On presentation his vitals were stable. He had normal cardiopulmonary and abdominal exam. The patient had decreased strength in both lower extremities (3/5 in both legs), with decreased light touch and painful sensation in both lower extremities. He had a wide-based shuffling gait. He was found to have a 1 cm firm lesion in the left testis. MRI spine showed numerous nodules in the dura, involving the cervical region and the cauda equine (Figures 1 and 2). Many of these lesions were also intramedullary. …
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