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A 49-year-old male presents with saddle anesthesia, lower extremity weakness, and urinary retention. When must surgical decompression be done to improve bladder and motor recovery?
less than 24 hours after symptom onset
less than 48 hours after symptom onset
less than 60 hours after symptom onset
less than one week after symptom onset
less than two weeks after symptom onset
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A 51-year-old male with a pacemaker reports difficulty with urination and numbness in his bilateral buttock. His symptoms began 12 hours ago. What is the next most appropriate step in management?
MRI of the lumbar spine
CT myelogram of the lumbar spine
Epidural steroid injection
Emergent lumbar decompression
High dose methylprednisone