Spinal Hansens with Pseudo Syringomyelitic FormSai Sampath Kumar Natuva*, Sunanda T, Venugopal Basam and Ganesh Vallampalli
Department of Neurology, Narayana Medical College and Hospital, Nellore, AndhraPradesh, India
- *Corresponding Author:
- Sai Sampath Kumar Natuva
Department of Neurology
Narayana Medical College and Hospital
Nellore, Andhra Pradesh, India
E-mail: [email protected]
Received date: April 06, 2016; Accepted date: April 27, 2016; Published date: April 30, 2016
Citation: Natuva SSK, Sunanda T, Basam V,Vallampalli G (2016) Spinal Hansens with Pseudo Syringomyelitic Form. J Neuroinfect Dis 7:212. doi:10.4172/2314-7326.1000212
Copyright: © 2016 Natuva SSK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Spinal cord involvement is rare in leprosy but not unknown. We document an interesting case of a 56 year old male presented with progressive weakness of all four limbs with gross wasting of limb muscles and multiple painless trophic ulcers over the hands and legs. Examination revealed pan sensory loss in glove and stock distribution with suspended sensory loss for pain and temperature over the chest. Areflexia was noted in the upper limbs and brisk reflexes were present in the lower limbs. Generalized peripheral nerve thickening was noted. Leprosy was diagnosed and confirmed by nerve biopsy. Other causes of intra spinal lesions were excluded. This pseudo syringomyelitic from of leprosy is difficult to diagnose as it often mimics intra medullary spinal lesions.