JAMA OtolaryngologyñHead & Neck Surgery

Vertebral Lesions in a Patient With Salivary Duct Carcinoma

A 62-year-old man with a history of submandibular salivary duct, alcohol use disorder, facial flushing after small amounts of alcohol presented with diminished superficial sensation, dysesthesia, and impaired proprioception in the lower extremities. What is your diagnosis?