Dr. Saurabh Dubey (Neurosurgery) needs a second opinion on this medical case.
64 yr old male, presented with gradually progressive spastic quadreparesis, with associated imbalance while walking in dark, for past 2 years, urinary urge for past 2 months, O/E asymmetrical weakness R>L power of 4-/5, all DTR brisk, hoffmans positive, Imapired JPS, vibration, dec pain on R side upto c4 dermatome. what should be the approach for this case ?
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