{"ops":[{"insert":"A 54 year old man presents with progressively worsening weakness and numbness of his left arm for 8 months. He has also experienced some difficulty in walking during the same time period, and states that he feels \u0022unbalanced\u0022 and clumsy. His medical, surgical and family histories are unremarkable. He is not on any medications, including over-the-counter drugs or supplements.\n\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-040_en.png"}},{"insert":"\n"}]}
2
Investigate
X-ray cervical spine
{"ops":[{"insert":"The X-ray shows decreased disc heights in the vertebrae C3 to C7, along with bony proliferation of the anterior bodies and articular processes, and varying degrees of foramen compromise.\n"}]}
MRI cervical spine
{"ops":[{"insert":"There is cervical spinal stenosis affecting the vertebrae C3 to C7, with compression of the spinal cord\n"}]}