20th June 2023

During the acute take, you are seeing a 68-year-old patient who presented with severe back pain and leg weakness.

During the acute take, you are seeing a 68-year-old patient who presented with severe back pain and leg weakness. She received treatment for breast cancer 3 years ago. On examination, she has reduced power in both legs and increased tone associated with brisk knee and ankle reflexes. There is some sensory loss in the lower limbs and feet, but the perianal sensation is normal. What is the most likely diagnosis?

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