Young male 14 years with paraplegia for th last five six years.H/O fever and cough 6-7days.Conscious oriented but emaciated.Kindly comment on x-ray and opine.What could be the cause of paraplegia??

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X-ray e/o gastric dilatation massive maybe d/o Pneumonia with sepsis Cause of hemiplagia can't be said without detail event history & further investigation like MRI thoracolumbar spine
X-RAR CHEST & ABDOMEN SHOWS : NARROW THORACIC INLET + SCOLIOSIS + CARDIAC BORDERS ARE OBLITERATED + LEFT SIDE LUNG EMPHYSEMATOUS CHANGES + *DILATATION OF THE STOMACH + *ENLARGED LIVER + ABDOMINAL DISTENSION + GASTRIC ASPIRATE FOR CBNAAT. MX. TEST, ESR. OTHER ROUTINE TESTS. MRI SPINE MANDITORY. DX : T.B. SPINE RESULTING PARAPLEGIA.
I agree with Dr.Brahmanand Merugu's findings. Exclude TB spine
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No pulmonic lesion Abdominal part shows,multiple air fluid levels going in favour of tubercular patho ,.....,....so there might be tubercular lesion in brain causing paraplegia 2nd option There is malignant focus in abdomen ((But looks most unlikely))) and there are secondaries in brain causing para plegia
Difficult to comment on the cause of paraplegia here in one go. Light on likely cause could be thrown by MRI of thoracic spine, where Pott's lesion of any vertebrae may be evident, and treatment would then proceed as per MRI findings.
This x ray shows dilated colon ? Acute colonic pseudo obstruction in case of autonomic disturbances with paraplegia... The cause for paraplegia is difficult to diagnose here , needs evaluation in form of MRI spine first ..
Scoliosis Rt lung hypoplastic,lt compensatory emphysema Fundal gas prominent ,?ac dilation Paraplegia d/t spinal cord compression ?pott spine Ad cbc, TT,HRCT,CT abd, mri spine
Acute gastric dilatation ? Pneumothorax left Cause of paraplegia lower lumbar region vertebrae compression ?? Mass or severe scoliosis
I agree with Dr.Brahmanand Merugu's findings. Pl exclude TB SPINE
Scoliosis. Advise MRI spine to find cause of paraplegia
good case parminder sir.... Post details now !!!!
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