Anuj Arun Bhide, Vernon L Velho, Nimesh A. Jain
2018 Journal of Evidence Based Medicine and Healthcare  
PRESENTATION OF CASE A 20-year-old male presented to us with complaints of urinary incontinence and right lower limb weakness. On examination the patient had continuous urinary dribbling with lower motor neuron type of bladder involvement. The lower limb weakness was limited to the dorsi-flexion of the ankle and the toes with extensor hallucis longus (EHL) weakness. The deep tendon ankle reflex was depressed on the right side and the plantar reflex was mute. Power and reflexes on the left side
more » ... s on the left side were normal. CLINICAL DIAGNOSIS Diagnosis of a cauda equina compression was made which was confirmed on Magnetic Resonance Imaging (MRI), which showed a T2 Hyper-intense and T1 Hypo-intense, irregular walled cystic lesion in the spinal canal extradural space at the L5 to S2 vertebral levels extending more to the right side. The lesion was non-enhancing on contrast and had a hyper-intense thin rim. (Figure 1, 2, 3, 4)
doi:10.18410/jebmh/2018/521 fatcat:btwosl2mczastimngmy2a5juay