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A 36-year-old right-handed female presents to the emergency department for an episode of monoparesis of the right leg, which started earlier in the day. She has a history of major depression, for which she sees a psychiatrist and is treated with medication. About 6 months ago she had an episode of optic neuritis, which was treated with steroids. She denies any history of seizures. On exam, she was noted to have gait difficulties due to the weakness of her right leg. There was no evidence of paresthesia or cognitive impairment. Because of her age, a diagnosis of stroke or TIA is unlikely. A subdural hematoma or glioblastoma, must be ruled out. Her symptoms are suggestive of multiple sclerosis. We will order an MRI of the brain with contrast to see if any characteristic lesions are present.
Question: Which of the following describes the main symptom she is presenting with?
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