S. Prasad, MD R.S. Price, MD S.M. Kranick, MD J.H. Woo, MD R.W. Hurst, MD S. Galetta, MD SECTION 1 Case presentation. A 59-year-old woman with a history of hypertension developed acute bilateral flaccid leg weakness while watching television. She had shifted her weight while sitting on the couch and suddenly felt a sharp pain in her lower back and right leg. When she stood up to walk she noticed that her legs were numb; over the course of 1 hour she became unable to move her legs. She could not urinate voluntarily, and had dribbling incontinence. She was brought to the emergency department for evaluation.