Case 216: Hypertrophic Spinal Pachymeningitis

History A 58-year-old woman presented for evaluation of gradually progressive lower extremity pain and paresthesia. She initially experienced interscapular pain that developed while gardening. After 1 month, she started to feel numbness in her feet. This numbness ascended over the next few days to involve her lower breast margin. There were no exacerbating or alleviating factors. She had no history of trauma, and she denied having fevers, weight...