A 38-year-old female patient is referred to physical therapy…

A 38-year-old female patient is referred to physical therapy. During the initial evaluation, the patient reports experiencing intermittent blurred vision, difficulty walking, and frequent fatigue. The patient’s medical history reveals episodes of muscle weakness and sensory changes that have come and gone over the past few months. The physical therapist observes bilateral lower extremity weakness, abnormal gait pattern, and diminished vibration sense. Based on the provided patient history and examination findings, which pathology is MOST likely given her presentation?