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Medicine
A patient of rheumatoid ahritis develops sudden onset quadriparesis, Babinsky sign was positive, increased muscle tone of limbs with exaggerated tendon jerks and worsening of gait with no sensory. sphincter involvement. Best initial investigation is
X-ray of cervical area of neck in flexion and extension
MRI brain
EMG and NCV within 48 hours
Carotid angiography
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