29th September 2021

A 41-year-old male is brought in by ambulance with deep lower back pain

A 41-year-old male is brought in by ambulance with deep lower back pain and difficulty in moving his legs. This had developed quickly over the past few hours. He is currently in a wheelchair as he is unable to mobilise using his legs and he also reports passing no urine over the past day. He has a past medical history of chronic schistosomiasis but was unable to afford treatment in his home country. On examination, there is bilateral leg weakness and numbness.

Which of the following is the most likely underlying diagnosis?

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