D12-L1 loculated Haematoma following Lumbar puncture

INTERESTING CASE 40 years female, follow up case of Metabolic encephalopathy settled now. Complained of weakness in b/l lower limbs. O/e GCS 15/15 B/L complete paraplegia with 90 percent sensory loss. Diagnosis and management???

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How is the onset ? Is it acute? Complete paraplegia with 90% sensory loss.What about the bowel and bladder symptoms. Is it a flaccid weakness? What about the reflexes? The available information is not going well with the MRI spine. Needs more details Ref to neurologist

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Damage in posterior horn cell in Lumbosacral region Causing sensory loss paraplegia Opinion of orthopedic

But how can produce paraplegia if damage to posterior horn cell sir?
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? SPINAL CORD PATHOLOGY.. ? SYRINGOMYELIA ..WITH.. PARAPLEGIA..

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Syringomylia Spinal stenosis Syndrome

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syringomyelia with paraplegia

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Syringomylia

, syringomyelia

Most probably Long Segment Transverse Myelitis vs Epidural Pathology.  Kindly Rule out Multiple Sclerosis,Spinal TB,ADEM.

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