26th August 2024

A 56-year-old man arrives in A&E with sudden onset back pain and flaccid paralysis of his legs

A 56-year-old man arrives in A&E with sudden onset back pain and flaccid paralysis of his legs. He has 0/5 power in both legs, is areflexic, has no response to pain up to the level of his navel. Vibration and proprioception, however, are intact in both legs, and he is able to detect light touch.

What is the most likely diagnosis?

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