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The patient came to the clinic
17-April-2002 from Egypt complaining of bilateral sciatica, more the
right. She had fracture med third right tibia with subsequent plate
fixation 12 years ago. Exacerbation of LBP the last 3 years with
ataxic gait for 2 months.
She had diabetes mellitus for 1 year in diamicron
and glucophage. Arterial hypertension for 6 years in hypoten 50 mg
once daily. She had also hypercholesterolemia.
On examination, she had unstable Romberg swaying
to all directions. Mild bilateral lagophthalm was noted. SLRS was 90
degrees both sides with Babinski positive left side. Hypalgesia with
numbness both feet with weak muscles both feet more the left.
Considering these data, the patient was sent to
perform MRI of the brain with MRA of the brain and carotids
with MRI of the lumbar spine. | 
