June 2026

CASE HISTORY

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.

AUTHORS

Dr. Anusha Shree Thaneeru, Department of Radiology, Manipal Hospitals, Kanakapura Road, Bangalore.

Dr. Sharath Kumar G G, Lead Consultant, Interventional Neuroradiology, Manipal Hospitals, Kanakapura Road, Bangalore.

Dr. Veekshit Shetty, Consultant Neurosurgery, Manipal Hospitals, Kanakapura Road, Bangalore.

Dr. Vidya. M. N., Lead Consultant Pathologist, Manipal hospitals, Old airport Road, Bangalore.

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