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💡 CASE REVIEW: Progressive leg heaviness bladder urgency This is a spinal cord syndrome until proven otherwise. Here’s the OSCE-style breakdown: – Key features: – Progressive symptoms over months – Bilateral leg stiffness and weakness – Bladder urgency – Upper motor neuron signs (↑ tone, brisk reflexes, upgoing plantars) – Most likely diagnosis: 👉 Spinal cord compression / myelopathy 🧠 Next steps & management: – Urgent MRI spine (whole spine if level unclear) – Escalate as a neurological emer
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