{"ops":[{"insert":"A 4 year old boy presents with weakness in his upper and lower limbs for 24 hours.\n\nHe had experienced an upper respiratory tract infection 10 days before, which lasted for 1 day.\n\nHis medical history is unremarkable, and development is age appropriate.\n\nAll immunizations are up to date, with no recent vaccinations.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-052_en.png"}},{"insert":"\n"}]}
2
Investigate
Lumbar Puncture
{"ops":[{"insert":"Appearance: clear\nWBC: 24 (0 - 5)\n 67% lymphocytes\nProtein: 84 mg\/dl (18-58)\nGlucose: 55 mg\/dL (\u003C300)\nGram stain and culture: Negative\nZiehl-Neelsen stain for acid fast bacilli: Negative\nCSF sample sent for serologic testing.\n"}]}
MRI Spine & Brain
{"ops":[{"insert":"The MRI of the spine shows visible swelling of the C5-6 segments, with T2 hyperintensity. \nThere is abnormal Gd-DTPA enhancement of the affected segments alone, with no enhancement of the dura mater and spinal roots. \nThe MRI of the brain appears completely normal.\n"}]}
