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Low back pain during constipation, weakness in leg. MRI shows lesion in cord. What should I do?

Hello I am suffering from low back pain when using bath room specially when have constipation and when i was sitting for long period of time from about a year the doctors give me muscle relaxant and anti inflammatory drugs and the pain decreased but from about seven month ago I noticed that my left leg did not supporting me ( when I was playing football and another one pushing me from the left side I can not holding my body on my leg) and when I am trying to raise my ankle it did not go too much from ground and if any body make a little effort over it I can not resist I do MRI today and the report was as following there is an oval shaped semi-lobulated, semi- cystic mass lesion arising from the lower part of the cord starting at the level of upper part of D12 vertebra extending down to the level of L1-L2 disc space measuring 2x2x8 cm with evidence of surrounding oedematous changes affecting the adjacent cord and thecal sac could you please explain MRI report and what should I do
Asked On : Wed, 12 Dec 2012
Answers:  2 Views:  76
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

Your MRI report suggests a mass lesion in the lower part of spinal cord. The most likley causes of a mass like this could be a tumor. In some cases, it may be due to infection.

This mass is pressing on your nerves of spinal cord, leading to weakness of legs.

This needs urgent evaluation by a neurosurgeon, who may advise you a surgery.

Wishing you good health,

Dr Sudhir Kumar MD DM (Neurology)
Answered: Thu, 13 Dec 2012
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Neurologist, Surgical Dr. Sunil Gautam's  Response
Before explaning it I need few more inputs like your age,history of fever in last 3-4 month, IN MRI is it arising from spinal cord or nerve roots.Whatever it be it needs urgent biopsy and then managment depend on biopsy report.Other way is operate remove lesion,decompress nerve and further treatment depend on biopsy report.
Answered: Fri, 14 Dec 2012
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