A 56-year-old gentleman presents with lower limb stiffness and imbalance

A 56-year-old gentleman presents with lower limb stiffness and imbalance. His only past medical history of note is carpal tunnel syndrome that was diagnosed a year ago on clinical grounds and has been refractory to treatment with splints and steroid injections. Which of the following is most likely?

  • Cauda equina syndrome
  • Subacute combined degeneration of the cord
  • Degenerative cervical myelopathy
  • Parkinsons disease
  • Multiple sclerosis

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