Paraganglioma

HISTORY:

• Lower bachake-10 years
• Urinary frequency-2 years
• Pain right lower limb-5 months

EXAMINATION:

• Power in both lower limbs-4+/5
• DTR’s –absent in both lower limbs
• Right ankle clonus
• B/L plantars-mute
• B/L sensory loss in S2-S4 by 20%

INVESTIGATIONS:

• MRI dorso-lumbar spine

TREATMENT:

• D12-L1 laminectomy with complete excision of the tumor done

HISTOPATHOLOGY:

• Paraganglioma