This patient aged 45 years consulted me on 20th march .His chief complaint was he cannot stand on his own after sitting and cannot stand on his own ,he requires some support or somebody to hold him ,once first movement is done he can walk limping ,while walking it appears that he will fall.
Detail case taking – the story is like this.
It all started 3 years ago he started limping on the right side with affection of the right lower extremity, he thought it might be some sprain or something and carried on, one day he had to climb some stairs and he couldn’t climb one step also, then he went to the doctor, an MRI was done and they arrived at the diagnosis of spinal ependymoma .
He also developed involuntary urination where it didn’t have any sensation when the urine used to pass out.Surgery was performed but his condition remained the same as far as walking was concerned, the patient told me that after the surgery his problems are not progressing but he is statuesque.
After the surgery he developed sensation for urination but to pass urine he had to apply lots of pressure, in fact it is so troublesome that sometimes when he applies pressure to pass urine, stools come out.
Going for urination is very difficult for him he goes for urination 3-4 times a day.
Since 6 months he has developed sensitivity on the lateral side of the right lower extremity and right half region of the back (lumber) wherein he feels lots of pain on slight touch.
Since 4 months he has developed coldness from the knees to the feet both sides.
He has got bloatedness of abdomen with pain since 5 years.
He had an accident 7 years ago wherein he fell on the right side and his right hip was damaged and he was bed ridden for 3 months.