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  NEUROANATOMY case study(report) CASE REPORT A case of 17 year old male was admitted due to weakness in both lower extremities with inability to walk. The patient was having productive cough associated with on and off evening rise of temperature, 6 months prior to consultation. He had loss of appetite and was noted to lose weight. A month prior to consultation he was noted to have complaints of low back pain and numbness on both lower extremities.  Weakness persisted associated with inability to walk which prompted him to seek admission. Vital sign were normal. POTT’S DISEASE v STARRING POINTS… ü Introduction ü Epidemiology ü Pathogenesis ü Clinical Findings ü Diagnosis ü Treatment v WHAT IS POTT’S DISEASE? • also called “Tuberculous spondylitis” or “Spinal Tuberculosis”. • caused by an infection of the spinal column Or vertebral column by the Mycobacterium tuberculosis. Epidemiology q What causes Pott’s Disease ?

                FOOT FOOT • SOLE OF THE FOOT • THICK AND HAIRLESS. • IT IS FIRMLY BOUND DOWN TO THE UNDERLYING DEEP FASCIA BY NUMEROUS FIBROUS BANDS. • THE SKIN SHOWS A FEW FLEXURE CREASES AT THE SITES OF SKIN MOVEMENT. • SWEAT GLANDS ARE PRESENT IN LARGE NUMBERS. FOOT • SENSORY NERVE SUPPLY: • MEDIAL CALCANEAL BRANCH OF THE TIBIAL NERVE - WHICH INNERVATES THE MEDIAL SIDE OF THE HEEL; • BRANCHES FROM THE MEDIAL PLANTAR NERVE- WHICH INNERVATE THE MEDIAL TWO THIRDS OF THE SOLE • BRANCHES FROM THE LATERAL PLANTAR NERVE - INNERVATE THE LATERAL THIRD OF THE SOLE FOOT • DEEP FASCIA • THE PLANTAR APONEUROSIS IS A TRIANGULAR THICKENING OF THE DEEP FASCIA THAT PROTECTS THE UNDERLYING NERVES, BLOOD VESSELS, AND MUSCLES. • ITS APEX IS ATTACHED TO THE MEDIAL AND LATERAL TUBERCLES OF THE CALCANEUM. • THE BASE OF THE APONEUROSIS DIVIDES INTO FIVE SLIPS THAT PASS INTO THE TOES. MUSCLESOF THE FOOT • CHIEFLY CONCERNED WITH SUPPORTING T