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38-årig man söker akut pga värk i ryggen och tilltagande gångsvårigheter. Han är tidigare frisk men sedan 2 mån tillbaka har ryggvärken, i höjd med skulderbladens nedre del, hållit i sig. Hö fot har fastnat i trösklar, avföringen har blivit trögare. Benen känns bortdomnade och pat går ostadigt, kan ej hoppa på hö ben. Reflexerna i benen är stegrade och Babinski finns bilat. Sensibilitet för temperatur anges annorlunda nedom en linje strax ovan naveln. Sannolik diagnos och lokalisation?

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