CYST IN CORD

A 40YR MALE HAVING PAIN BACK THORACIC AREA FOR LAST 3 WEEKS. SUDDEN ONSET, ONE DAY WOKE UP WITH PAIN BACK. AFTER THAT HE TOOK MUSCLE RELAXANTS FOR 5 DAYS. PAIN SUBSIDED BUT AGAIN HAS EARLY MORNING STIFNESS WHICH GOES AWAY WITH DAY PROGRESSION. NO HE HAS MILD PAIN EARLY MORNING WHEN HE WAKES UP. MRI ATTACHED.

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this is a classical example of UNNECESSARY INVESTIGATION MAKING RAI KA PAHAD... this patient has pure muscular pains spasm and stiffness needing only rest, heat fomentation and graded exercises along with NSAID.. MRI should not have been done unless a neuro consultant examines and detects any neurological involvement or need....this small cyst is incidental and asymptomatic and may have been there for years..patient just needs to be observed over long term with repeat imaging at times..... take home message... DO NOT ORDER MRI UNLESS YOU CLINICALLY DIAGNOSE AND SUSPECT A DISEASE..BETTER TO REFER TO A NEURO SPECIALIST

Thank you doctor
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The cystic lesion doesn't appear to be in continuity with syrinx More likely that it is causing the syrinx by blocking CSF flow The cyst need excision Likely causing central cord syndrome Need detailed evaluation by neurosurgeon and excision.

Syringomyelia gandoosh of -- dashang lepa mandoor bhasm shankh bhasma kanchanaar guggulu saindhav lavana prepared in a micronised or finely powdered form and in a paste of erand oil to be changed every 6 hours. orally - 1) kanchanaar guggulu + singhanaad guggulu + triphala guggulu with sarivadyaristha 2) ekangaveer ras 1 bid 3) yogendra ras with mahayogaraj guggulu in a ratio of 1:2 with ashwagandharishtha 4) in between gandoosh dhaaran i would suggest you to apply a lep of urad dal boiled in hot water on the cervical region in the form of rolls and fomentation done to bring about sweating. THIS may help you

? SPINAL CORD PATHOLOGY.. ? CYSTIC LESION IN SPINAL CORD.. NEED'S.. NEUROSURGEN'S OPINION..

Syrix. If he detoriates neurologically surgery. Syringo subarachnoid shunt advised

ok sir, as at present he has only early morning pain back that to mild and releaves as day progresses. what to do in current scenario?
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POSSIBLY ... SYRINGOMYELIA ... NEEDS.. NEUROSURGEON'S OPINION

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