A 32-year-old male presented to our emergency department following a progressive weakness of both his upper and lower limbs since last 2 weeks. He had been operated for supra-tentorial glioblastoma 3 months back (Fig. 1). His neurological examination revealed the findings of spastic quadriparesis with exaggerated deep tendon reflexes. The magnetic resonance imaging of his spine revealed classic findings suggestive of a holo-cord drop metastasis involving all spinal levels (Fig. 2). The patient and his close relatives opted for a symptomatic management after they were counseled of the bleak prognosis of the disease condition.
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