Mildly Reduced Sensation in Medicine / Internal Medicine — 62yo Man | Neurology | SMLE Q#922
SMLE Question #922
Medicine / Internal Medicine
Neurology
Last updated: February 2026
A 62-year-old man presents 3 hours after a fall onto his back. Since the fall, he has developed marked left leg weakness and difficulty moving it against gravity. Examination shows left lower limb power 1/5 across major muscle groups with mildly reduced sensation; right lower limb and both upper limbs are 5/5. Cranial nerves are intact, and there is no loss of consciousness. What is the most appropriate next diagnostic test to evaluate the cause of his new focal neurologic deficit?
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