Haematologist did a LP and MRI.
CSF had increased
protein and positive 14-3-3
protein. MRI showed definite signal change in posterior column. Decided to watch and wait. Had a few falls and admitted to hospital.
O/E positive Rombergs, couldn't tandem gait, nonresponsive Plantars, loss of vibration to T3, brisk ankle, knee reflexes with hypertonicity, loss of proprioception to the ankle. Upper limbs normal.
Hb low, neuts low, lymphs low, platelets low.