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A 27-year-old man with no significant medical history, presented with right foot weakness and difficulty with balance. MRI of his brain, cervical and thoracic spinal cord showed multiple white matter lesions consistent with demyelination. His cerebrospinal fluid had a white cell count of 27 mononuclear cells and was positive for oligoclonal bands. He was treated with a 3-day course of intravenous methylprednisolone (1 g) with good resolution of his symptoms. An extensive screen for infective causes was negative and a definitive diagnosis at this time …
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