9th November 2021

A 33-year-old female presents to the emergency department with numbness in her legs

A 33-year-old female presents to the emergency department with numbness in her legs. This subsequently ascended to the level of her umbilicus. She also reports lower back pain and urinary incontinence. A few months ago, she experienced a tingling sensation in her arms, though attributed this to her work as a cleaner. There is no past medical or family history. On examination, there is reduced power in the lower limbs.

Which of the following is the most appropriate first-line management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.