7year female pt with history of gradual weakness in both lower limb with spasticity blader bowel involved since 1 year, transfer to us from pediatric department after MRI

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May be abcess or someone tried I think so, please pardon me that during lumbar puncture by inexperienced hands the needle have gone much deeper causing hematoma....also possibility of tumor should be ruled out.

Sir Please Conclude the case
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DD .....TRANSVERSE MYELITIS SYRINGOMYELIA SPINAL CORD ABSCESS POST TRAUMATIC HEMATOMA SPINAL CORD TUMOUR...

Ependymoma and glioma Teratoma are likely possibilities

Syringomyelia

There is a large lesion in the dorsolumbar area Could be a syrinx compressing the central cord Or an intramedullary tumor with surrounding syrinx Bladder:bowel involvement is due to compression of central fibers Need laminectomy and excision and decompression of cord Prognosis is guarded Surgery may be done early after work up It cannot get worse with surgery and there is hope for partial neurological recovery

Tumour impigment ependyomasmeningioma aredds

MRI report says it intra medulary ependymoma we operated the case laminectomy from D11 to L2, dura open it was intramedulary lesion, small myelotomy done , on aspirations pus and turbid fluid came out, biopsy of wall taken, pus send for investigation.

Rickets

Tumor growth compressing spinal cord. Advised neurosurgeon opinion.

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