Concluded Case

Intradural extramedullary mass

61yrs/M known diabetic and HTN having 9mths H/o Progressive back pain,urinary incontinence and proximal leg weakness and sensory impairment,sensory level below umblicus.Power grade 4.DIAGNOSIS AND APPROACH?

(Edited)
LikeAnswersShare
Concluded answer
Laminectomy with excision of mass done by Neurosurgeon done.Patient discharged without any additional neurological deficit Tissue Biopsy - IDEM
All Answers
A hyper intense lesion in T2 weighted image ar midthoracic area of spine - most likely a primary lesion or can be an isolated metastasis. A neurosurgical consultation regarding feasibility of surgery - only hope improvement of symptoms
In the visualized areas there is lumbar canal stenosis at multiple levels Need correlation with radiologist report since sensory level is high to rule out thoracic cord involvement Will benefit from surgery Neurosurgery evaluation
Sir,see the enclosed MRI report
0
@Parveen Yograj sir,@Saumya Mittal sir,@Manorama Rajan mam,@Anand Kumar sir,@Abhijit V sir
Laminectomy with excision of mass done by Neurosurgeon done.Patient discharged without any additional neurological deficit Tissue Biopsy - IDEM
Too small images. Spinal canal stenosis. Myelomalacia. Can not be ruled out
There was a hyper intense lesion at midthorasic area ?Primary vs Mets
Thank u sir
0
Operate this pt , what about the power in lower limb ,
Sir 4/5
0
tramsverse myelitis
MRI report enclosed

Cases that would interest you