Question

which history suggests spinal cord compression in the neck?
○ bilateral leg pain, no arm symptoms
○ neck stiffness, no neurological signs
○ unilateral arm pain, acute onset
○ gait issues, hand clumsiness

Explanation:

Spinal cord compression in the neck (cervical spinal cord compression) affects the central spinal cord, which controls motor and sensory function for both upper and lower extremities. Bilateral leg pain without arm symptoms is more consistent with lower spinal issues. Neck stiffness without neurological signs is often musculoskeletal. Unilateral acute arm pain typically relates to nerve root irritation, not cord compression. Gait issues (from lower extremity motor impairment) and hand clumsiness (from upper extremity motor dysfunction) are classic bilateral, upper motor neuron signs of cervical spinal cord compression.

Answer:

Gait issues, hand clumsiness