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Medicine CNS 82b76c25

A patient was treated for mantle cell Hodgkin lymphoma with radiation therapy. After 6 months he develops an electric shock-like pain along the spine on flexing his neck. What is the diagnosis?

A
Cervical ahritis
B
Cervical spinal cord pathology
C
Multiple sclerosis
D
Spinal cord compression
High-Yield Explanation
Disease Features Cervical Ahritis Presents with stiffness in neck muscles and reduced neck movements Lhermite Sign -Seen in cervical spinal cord pathology -When neck flexion produces an unpleasant electric shock sensation radiating down the extremities Uthoff Sign -Multiple sclerosis -Worsening of symptoms like fatigue, optic neuritis with an increase in body temperature. Spinal cord compression Presents with deficits like paraplegia, bladder and bowel involvement

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