Question 78
Which is not a feature of Extramedullary Tumour
a. Early Corticospinal Signs and Descending paralysis
b. Root Pain or Midline Back Pain
c. CSF Abnormal
d. Sacral sparing
Answer
d. Sacral Sparing
Reference
Textbook of Medicine : Vasan and Seshadhri 1st Edition Pages 463-465
QTDF
Textbook of Medicine :
Quality
Thinker
Status
Repeat
Discussion
| Extramedullary Lesion | Intramedullary Lesion |
| Root pain or Midline Back Pain | Funicular Pain |
| Brown Sequard Syndrome | Dissociated anaesthesia |
| Early Corticospinal Signs | Corticospinal signs late and less prominent |
| Early loss of sacral sensation | Sacral sparing |
| CSF Abnormal | CSF more likely to be normal |
Explanation
Self Explanatory
Comments
Classically in a Extramedullary Lesion, the ipsilateral lower Limb is involved first followed by the ipsilateral upper limb and then contralateral upper limb and contralateral lower limb. Be careful when you see the words Ascending paralysis or Descending Paralysis in future exams
Tips
The Author of the book (I have given for reference) is from AIIMS J
