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Figure 1: *Acute, Subacute (more commonly), chronic rapidly progressive neurological deficit, exclude alternate differential diagnosis.**Thorough clinical examination along with skeletal survey (X rays), chest and abdomen and pelvis CT (Computed tomography) scan, positron emission tomography (PET) whole body, prostate-specific antigen (PSA) in male patients more than 50 years, carcinoembryonic antigen 125 (CEA-125) in all women, serum electrophoresis was done in elderly patients more than 50 years

Figure 1: *Acute, Subacute (more commonly), chronic rapidly progressive neurological deficit, exclude alternate differential diagnosis.**Thorough clinical examination along with skeletal survey (X rays), chest and abdomen and pelvis CT (Computed tomography) scan, positron emission tomography (PET) whole body, prostate-specific antigen (PSA) in male patients more than 50 years, carcinoembryonic antigen 125 (CEA-125) in all women, serum electrophoresis was done in elderly patients more than 50 years