Diagnostic Dillema of Dumbell Shaped Spinal Lesions-An InterestingCase

Authors

  • Dr. Medha Vyas Department of Neurosurgery, Sir Ganga Ram Hospital, New Delhi, India Author
  • Dr Ashish Goyal Department of Neurosurgery, Sir Ganga Ram Hospital, New Delhi, India Author

DOI:

https://doi.org/10.47363/JCET/2022(3)125

Keywords:

Diagnostic Dillema, Dumbell Shaped Spinal Lesions

Abstract

36 year old male with Progressive back pain, weakness in his Right lower limb and Paraesthesia over right side of his body since 3 months. Weakness was insidious onset, gradually progressive, (Distal to Proximal progression). Paraesthesia over right side of his body involving right chest, abdomen and lower limb Similar progression of weakness in his left lower limb, with no sensory disturbances on left side. Conscious, oriented. Tone: Hypertonia + in Right LL: Modified Ashworth Grade 3, Left LL: Normal. Power: MRC Grade: Right: 3/5, Left : 4/5 across all joints. Right foot drop present + Hypoesthesia below D5 dermatome to touch, pain, temperature on Right by: 60%, Left: 30%. Hyperactive deep tendon reflexes + in both lower limbs, Babinski reflex + Bilaterally and ankle clonus + on right side.

Author Biographies

  • Dr. Medha Vyas, Department of Neurosurgery, Sir Ganga Ram Hospital, New Delhi, India

    Department of Neurosurgery, Sir Ganga Ram Hospital, New Delhi, India

  • Dr Ashish Goyal, Department of Neurosurgery, Sir Ganga Ram Hospital, New Delhi, India

    Department of Neurosurgery, Sir Ganga Ram Hospital, New Delhi, India 

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Published

2022-05-03

Issue

Vol. 3 No. 2 (2022): Volume 3 Issue 2

Section

Articles