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July 2026

CASE HISTORY

Patient of relapsed Early T cell precursor Acute lymphoblastic leukemia ( BM + testis) . He underwent Matched unrelated donor hematopoietic stem cell transplantation. He relapsed in CNS 3 months post transplant and is on weekly triple IT for CNS relapse. Now presented with altered sensorium and slurring of speach.

Section Editors

Dr. Arpita Sahu, Dr. Sarbesh Tiwari, Dr. Sabha Ahmed,

Dr. Smily Sharma, Dr. Meena Nedunchelian

Authors

Dr Prakhyath Gmabhira D

DNB resident, KMCH, Coimbatore.

Dr Kannan G,

Consultant, KMCH, Coimbatore

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June 2026

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.