7th June 2021

A 62-year-old man presents to A&E with sudden onset severe back pain and bilateral leg weakness

A 62-year-old man presents to A&E with sudden onset severe back pain and bilateral leg weakness. These symptoms came on around an hour ago, with no preceding trauma. On neurological examination, power is 0/5 in both lower limbs, and he has complete loss of pain and temperature sensation below the T10 level. A diagnosis of anterior spinal artery syndrome is confirmed with MRI.

Which THREE of the following would be the most appropriate further investigations? Select THREE options only.