7th June 2021

A 58-year-old man presents to A&E via ambulance

A 58-year-old man presents to A&E via ambulance, complaining that over the past two hours he has suddenly and completely lost the use of his legs . On neurological examination, he has 0/5 bilaterally in his lower limbs (with upper limb power intact). There is loss of pain and temperature sensation below the T8 level – although light touch sensation is preserved. 

Which spinal pathways have been affected in this case?

Select the SINGLE most likely diagnosis from the list below. Select ONE option only.