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A 57-year-old woman presented with weakness of the right leg over one and a half years. She had visited several clinics but her symptom had been attributed to lumbar spondylosis or aging itself. Motor examination revealed 4/5 strength in the distal right lower limb without muscle atrophy. Hyperreflexia of the right upper and lower limbs with right-sided ankle pseudoclonus, right positive Babinski's sign and sensory impairment in her right leg below the knee were also noted. Brain magneticdoi:10.2169/internalmedicine.49.4331 pmid:21088366 fatcat:o7liqgwoonfsdmnygt25xdbcxe