should receive a-blockade and fluid resuscitation preoperatively to prepare for catecholamine release with tumour manipulation during surgery. The sufficient preoperative preparation benefits a great deal to the anaesthetisation and surgery, with effective risk reduction. Fig. 1. MRCP picture showing the main pancreatic duct (PD) opening through the minor papilla and the common bile duct (CBD) opening through the major papilla.
576Letters to the editor
Intramedullary spinal cord tumors accounts for 4-10% of all central nervous system tumors and 35-40% of all intraspinal tumors in children. Biological behavior of these tumors is slow progression and often may not be recognized till they have attained significant size. Back pain, motor weakness, frequent falls and gait disturbances are the presenting complaints. Myxopapillary ependymoma is WHO grade 1 tumor associated with very good prognosis. Early diagnosis and complete surgical resection are the treatment of choice. We reported this case to emphasize the fact that appropriate diagnosis and complete surgical resection of the intraspinal tumor in a child with paraplegia with acute retention of urine with grade 0 power enabled complete neurological recovery.
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