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En 59-årig kvinnlig bibliotekarie söker pga gångsvårigheter. Det framkommer att hon sedan 5 mån haft värk i mellersta bröstryggen med bandformad utstrålning framåt hö flank. Under den senaste månaden har hon blivit tilltagande svag i hö ben och söker nu då hon känner sig ostadig i vä ben. I status finner du spastisk parapares, bilat positiv Babinski samt nedsatt sensibilitet upptill navelplanet.a) Ange sannolik diagnos och skadelokalisation.b) Ange lämplig utredning och prioritetsgrad med vilken undersökningen bör ske.

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