Epidural space mass

Chief Complaint A 55 yo male came with the complaint of difficulties in balancing the body while walking, weakness in all the limbs, urgency of micturition and constipation. History Patient is hypertensive. No other past medical or surgical history. Investigations MRI of the cervical spine shows a large extramedullary mass in the right epidural space with paravertebral extension located at the C7-D1 level. There was widening of the intervertebral neural foramina with distortion and compression of the spinal cord. Treatment What management plan will you advise?

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? CERVICAL SPINE PATHOLOGY .. WITH ASSOCIATED ..SPINAL CORD COMPRESSION COMPLICATIONS.. NEED'S.. NEUROLOGISTS OPINION..

Tnx Dr Ata ur Rahman Harlapur
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Do biopsy of the lesion. It will require excision to reduce pressure effects and weakness. Physiotherapy later. Review

CT or MRI guided biopsy If malignant surgery advices If benign resection and conservative management

Symptoms correlate with MRI Is the lesion malignant ? CT guided biopsy an option

Histopathology

Radiation therapy Surgery

Is it mass or disc buldge? If disc then to take cervical traction and cervical mobilzation. Control of hypertension is a must as associated with frequency of falls. Plz check for balance may be vertigo then do balance training

CT GUIDED FNAC OF THE MASS WITH NEUROLOGIST/SURGEONS OPINION REQUIRED

Physiotherapy treatment must be include Exercise is very useful in quadriparesis with advance approach like as ndt &bobath

Physiotherapy treatment

Diseases Related to Discussion

Constipation