Diagnostic Dillema of Dumbell Shaped Spinal Lesions-An Interesting Case

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