Medical history A 27-year-old, born and foreseeing of Governador Valadares (inner city), employee of a bank, began to complain of back pain a week ago, which spread to the left leg and developed paresthesia in the lower limbs and urinary retention around 3 days ago. Her medical history was unremarkable. She denies any accidents, smoking and alcohol or drug intake. The patient reports frequent contact with natural waters in the region. Physical examination shows hypoesthesia on T12-L1 level, muscle strength with 4/5 score in the right lower limb and 3/5 score in the left one and hyperreflexia on both either. Magnetic resonance imaging (MRI) of the thoracolumbar spine - sagittal plane.Magnetic resonance imaging (MRI) of the thoracolumbar spine - sagittal plane. Question:What is the most likely diagnosis of this case, based on clinical history and problems detected on imaging test? Multiple Sclerosis Schistosomal myeloradiculopathy Spinal Cord Tumor HTLV-1-associated Myelopathy (tropical spastic paraparesis) Time is Up! Time's up
