A 75-year-old patient with an MRI incompatible pacemaker presents with bilateral hand numbness, clumsiness, frequent falls, urinary urgency, and neck stiffness. Physical examination reveals normal upper extremity power and sensation, with increased C6 and C7 reflexes and positive Hoffman reflex bilaterally. His cranial nerve examination is normal. What is the most appropriate next step in management?
A 75-year-old patient with an MRI incompatible pacemaker presents with bilateral hand numbness, clumsiness, frequent falls, urinary urgency, and neck stiffness. Physical examination reveals normal upper extremity power and sensation, with increased C6 and
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