Interesting case of ataxia, what's your differential diagnos
Raghav Sharma
Interesting case of ataxia, what's your differential diagnosis?
20 year old woman with "weakness and numbness in her legs" and not able to walk

Full strength dysmetria of the legs (L worse than R)

Position sense off

Reflexes normal

She has been using N2O every day for the last year.

Some urinary incontinence and memory issues

Trouble walking in her words "only really started 2-3 days ago"

She has an elevated MCV and RDW (although hematocrit normal)

Her B12 is also low

Electrolytes are normal
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