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Case 32: Cold feet

You are called to see an 85 year old woman in coronary care who has cold feet. Her legs are weak and she has altered sensation. The neurology registrar has already seen her and an urgent MRI was performed. There is no evidence of spinal cord compression. You have arranged an urgent CT angiogram. Two adjacent slices and a coronal reconstruction are shown.

1. What does the CT show?

2. What is the likely cause for her cold feet?

3. What are the options for management?