Goutam Debnath1 , Avik Chakraborty2
A 46 years of rt handed Hindu grocer male with history of nasal polyp, allergic rhinitis for 12 years and off and on cough was admitted at Tripura Medical College & Dr. B.R.A.M. teaching hospital with chief complaints of tingling and numbness of extremities for 45 days and weakness of the lower limbs for 30 days. Forty five days before hospitalization he developed decreased sensation over both feet which progressed up to both legs below knee level over few days and was associated with burning, tingling, pins and needle sensation. Simultaneously he developed weakness of the lower limb, unable to maintain slippers, difficulties in standing up from squatting and required assistance of family member to walk. From the day of admission he developed decreased sensation over left hand then right hand with similar upward progression. He developed weakness of upper limbs in holding cup & raising hand arm above head. There was no history suggestive of involvement of any cranial nerves.
