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A 30 yrs male, was admitted with complains of neck pain, weakness in both upper and lower limbs for four months and mild intermittent paresthesia along his upper limbs. Physical examination showed mild sensory deficit along the lateral aspect of the upper limbs including paresthesia in the 3rd, 4th and 5th digits. Gait was normal with lower limb muscle weakness and negative babinski sign. The bowel and bladder was normal.