Cervical Intramedullary Tumor

History
- 31 yr old presented with c/c of-
- Neck stiffness with restriction of neck movements-5 months
- Weakness in both upper limbs-3 months
- Sensory loss in both upper limbs-3 months
- Urinary urgency-3 months

EXAMINATION:
- Lower motor type of weakness in both upper limbs more on left side with sparing of both lower limbs
- Sensory loss in both upper limbs in C5 to T1 distribution with dissociation
- B/L biceps and supinators inverted, triceps normal, B/L lower limb jerks exaggerated
- B/L plantars-extensors
- Restriction of neck movements in all directions

INVESTIGATIONS:
MRI cervical spine:



TREATMENT:
C2-C6 laminectomy with complete excision of the tumor done

Left hemispheric porencephalic cyst with raised ICP

3 yr old girl child, FTND, with normal developemental milestones presented with

History:-

1. Right focal seizures with secondary generalization associated with low grade fever-2.5 months

2. Right foot deformity since childhood-under Orthopaedic treatment since then

Examination:-

Right club foot with weakness

Investigations:-

NCCT head-left hemispheric Proencephalic Cyst

MRI brain-same findings as on NCCT head with clear features of raised pressure-midline shift, enlarged left hemisphere, diverticulum from lateral ventricle.

Treatment :

Endoscopic Fenestration of Septum Pellucidum