Case 351

Medical history

A 51-year-old female patient initiated paresthesia of the inferior members one year ago. The patient developed worsening of symptoms, presenting with paresis of the inferior members, gait difficulties, progressive dysphagia for solids and liquids, dysarthria and dysphonia. CT scan of the brain was performed (image 1). Based on its findings, magnetic resonance imaging (MRI) of the cervical spine was requested (images 2 and 3).

Considering the clinical history and radiological findings, what is the most likely diagnosis?

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