On January 28th, our wonderful PGY-1 Rainy Zhang presented a very interesting case of a young woman with a history of cancer presented with bilateral lower extremity weakness and numbness with hyperreflexia of the lower extremities concerning for spinal cord compression. Fortunately, the patient’s MRI spine did not show any pathology and her symptoms resolved within hours, indicating a likely somatic symptom disorder.

Here is a useful tidbit from our discussion: