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
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.
Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!
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.
Cases that would interest you
- Login to View the image
A 17yrs old male presented with A/h/o fall due to slip at the farm 10days back.H/o LOC present.Patient was able to walk for 10day,Now developed weakness for one day,Breathing difficulty with bladder n bowel involvement with sensory loss below C5.initially he was treated at someother hospital then transferred to our hospital. Significant findings during physical examination at the time of admission - Conscious,Alert,Oriented GCS - 13/15 Tenderness present cervical spine All 4 limbs power grade 0/5(Quadriplegia) P/R - 49/mt,BP - 110/70mmhg,Spo2 - 96% Diagnosis and Opinion please??
Dr. Prashant Ved1 Like12 Answers - Login to View the image
A very interesting case of a young female aged 17 who presented with sudden onset of Flaccid Quadriparesis with Bladder Bowel Involvement since the beginning and weakness was fully evolved in 1 hour....On examination, there was a sensory level at C4 below which all superficial n deep reflexes were lost including complete sensory loss...power was 0/5 in all limbs....comment on her MRI Spine and discuss the cause for her condition
Dr. Hardik Ahuja6 Likes10 Answers - Login to View the image
18 year young male presented to emergency opd with unconsciousness since 3 days and dilated pupil(3mm). h/o severe headache and blurred vision and vomitting. what is your diagnosis?? treatment plan??
Dr. Niket Mantri9 Likes18 Answers - Login to View the image
MRI lumbar region of a female , around 35 years, presented with bilateral lower limb weakness, sensation also lost on b/l lower limbs, bladder sensation also lost. Evolution of illness took just 3 days to complete. Patient is being treated with corticosteroid and is improving.
Dipesh Poudel6 Likes21 Answers - Login to View the image
25 year old male , no h/o trauma presented with sudden onset loss of sensations in b/l lower limbs and unable to move b/l lower limbs . no h/o fever , no neck rigidity .
Dr. Mohamed Shoaib1 Like44 Answers
3 Likes