56 F, C/O pain and stiffness cervical region. Numbness in both hands while sleeping. No H/O DM, HTN, CAD or Trauma. kindly give dx and rx.

New Case 72 yr M,Known DM 21 yrs,present FBs118mg/ ,HbA1c 6.8,presented with neck pain for 4 yrs aggravated since 4 months.Neck pain radiating to both side of neck to the occipital larea and both upper limbs Rt > left. Intermittent severe pain and at times he had difficulty in taking his food due to severe rt upper limb pain .Pain is shooting in character radiating down on either side up to RT thumb and left wrist.No difficulty in walking. On exam dulling of sensation C2 , 3,4 5 6 ,7 rt side and c56 on the left side.No long tract signs. What abnormality in the MRI?

age 35F C/O tingling, numbness and pain in the hands and get worse at night. What is diagnosis and treatment for this.

68 year female complaint of Rt shoulder pain for 4 days back , vertigo and fall down towards left side and nausea/vomiting for 4 days ..... H/ O chronic Hepatitis B for 3 years T2 DM ,HTN on medicine (CTD 12.5 ,Amlopress AT ,Triobimet 2 ) O/E BP 132/74 Pulse 65 ECG wnl Suggest treatment ???

A known case of Pulmonary Koch's and Tuberculous liver abscess presented 2 and a half years back. Treated with resolution of liver abscess and continued ATT for 9 months - patient was lost to follow-up. Now the patient has presented with persistent tingling in both feet / soles and occasional tingling left palm since the time he was taking ATT that is for almost 2 years. No other symptoms. Chest and abdominal exam are normal. Reflexes normal. Peripheral sensations normal. Power normal in all 4 limbs. USG Abdomen does not show anything significant. MT negative. NCS is normal - report attached. Suggestions on diagnosis and management? EDIT: Patient has been put on various cominations of AEDs (Gabapantin, Pregabalin) and anti depressants (Duloxetin, amitriptyline, nortriptyline, venlafaxine) and Vit B12 at several centers with no relief. His current B12 level is 1187