27th June 2023

A 40-year-old woman presents with symmetrical, distal weakness with absent ankle and knee reflexes in the lower limbs

A 40-year-old woman presents with symmetrical, distal weakness with absent ankle and knee reflexes in the lower limbs and some muscle wasting in the intrinsic muscles of the hand. There is also peripheral sensory loss to light touch in a ‘glove and stocking’ distribution. She had a recent cycle accident during which she was heavily intoxicated and had been in intensive care for 7 weeks.

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