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S:A case of multiple sclerosis since 2001,initial brainstem dysfunction,

followed by cervcial myelopathy 2004/7 and 2004/12,r/o baclofen induced.

Hand numbness persists with tegretol.Right leg weakness and numbness

on 2006/3,recovered.No diplopia.Insomnia.Back soreness.

On interferm  injection.Low back  pain,on tizanidine 1# hs.Both leg soreness,

weakness and unsteadiness,better.

O:NE:leg 5/5,slightly hyperreflexia in legs.Normal tandom walking.

Pyramidal 0,cereballar 1,brainstem 0,sensation 0,sphincter 0,vision 2,

cerebral 0,EDSS 2.0.

MRI:cervical myelopthy with enhancement.
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