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Mystery Case - Answers Due July 20, 2018

Neurology® Resident & Fellow Mystery Case

July 2, 2018

New Mystery Case!

A 32-year-old woman with backache

Adapted from a Case Report by RK Garg, MM Mehta, R Jaiswal, HS Malhotra, I Rizvi, and S Pandey . This case will be published in full format in the September 25, 2018, issue of Neurology. Please enter your demographic details at the end of the Mystery Case to help us better track responses (demographic information will remain anonymous). To receive recognition for your responses, enter your name and affiliation (optional). This information may be displayed, along with your number of correct answers, on the public website if you enter the most correct answers within one year.


A 32-year-old woman, who immigrated from India a few years ago, presented with 4 months of moderate to severe backache. She was also experiencing cough, anorexia, and some weight loss. On examination, there was local tenderness at the T6-T7 vertebrae but otherwise normal neurological examination.


What investigations would you order at this point? (select top 2)


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