Section Editors:

Dr Arpita Sahu, Professor

Department of Radiology, Tata Memorial Hospital, Mumbai, India

Dr Sarbesh Tiwari, Associate Professor

Department of Diagnostic and Intervention Radiology, AIIMS, JODHPUR

Dr Sabha Ahmed, Assistant Professor

Department of Neuroimaging and Interventional Radiology, NIMHANS Bangalore

Dr Smily Sharma, Assistant Professor

Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum

Dr Manisha Joshi, Consultant – Interventional & Neuroradiologist

Department of Radiology, Rajagiri Hospital, Aluva

Email : case.isnr@gmail.com

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June 2026

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A 41-year-old male came with complaints of back pain radiating to both lower limbs which was gradually progressive, worsened on walking. Paresthesia in both lower limbs for 3 months. He developed urinary incontinence and constipation for 2 months.

There was no history of fever, cough, weight loss or loss of appetite. There was no history of trauma. On examination there was absent ankle jerk bilaterally and S1-S5 hypoaesthesia with perianal sensory loss.

Chest radiograph and abdominal screening showed no abnormality.

A plain CT and CE-MRI of the sacral spine were performed.