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A 55 year old female with 2 years history of back ache with 6 months history of paresthesia in both legs with radicular pain and right leg weakness followed by left leg weakness after 2 months. The weakness gradually progressed so that for last 20days patient is unable to walk with diminished sensation below the level of lower abdomen.No h/o fever, weight loss, night pain or history of TB. On examination spastic paraparesis with sensory involvement without bladder and bowel involvement. No spinal tenderness. MRI spine posted below. Differentials?
Dr. Suprabhat Giri1 Like10 Answers - Login to View the image
25Y/F. CP angle mass lesion. TB stained Squash smears.
Dr. Neelam Sreemani0 Like10 Answers - Login to View the image
62yrs male, L3-L4 disc centered pathological process.
Dr. Gunjan Gupta2 Likes7 Answers - Login to View the image
46 yr old female has spastic paraparesis for 2 mos.possible diagnosis. Hw to differentiate schwannoma from meningioma from neurofibroma.mx n surgical technique
Dr. Sonal Jain1 Like6 Answers - Login to View the image
73 years old female presented with complaints of difficulty in walking since 1 months, insidious onset gradually progressive with tingling and numbness in both lower limb. although no specific bladder and bowel synonyms reported by her except difficulty in getting up from squating position. there was underlying history of some colonic tumor resection 5 years back, told them as benign no RT/CT and Potts spine operated around 10 years back at L2-3 leval. on examination patient powerin lower limb 3/5 , reflexes brisk 3+ with ankle clonus. sensory hyperesthesia reported by pt, no girdle like sensation. upper limb normal got an mri d/d ?? management ??
Dr. Anand Kumar0 Like6 Answers