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M/64

C.C.> Paraparesis (onset : 1MA)

BHx> #1. 8-9 MA back pain developed
#2. 1MA both L/E weakness로 일어날 수 없게 됨.

PMHx> DM(+) HTN(+) Liver cirrhosis(+) EVL Hx(+) Gastric ulcer(+)

P/E> 대소변 : difficulty(+) "잘 안 나온다"
Motor : Quad 3/3+
TA 4/4
EPH 5/4
Triceps 3+/3+
FDL 3+/3+

Sensory : ∼T10 : 100/100
T11∼T12 : 50/50
L1∼ : 30/30

Circulation : DPA ++/++ PTA ++/++

X-ray>

MRI> Tb spondylitis, T10-11
HIVD L5-S1

Impression> Tb spondylitis, T10-11

Op> Ant. curettage and fusion with tricortical IBG