Q. A 58 year-old man presents with an abrupt onset of interscapular pain, lower extremity weakness, sensory disturbance, and bowel and bladder incontinence.
Neurological exam reveals:
- areflexia of the lower extremities;
- paraparesis;
- loss of pain/temperature sensation with preserved vibration/proprioception sensation in the lower extremities;
- anal sphincter atonia;
- and a normal motor, sensory, and reflex exam in the upper extremities.
Which of the following is the most likely diagnosis?