Management: Methylprednisolone 1g in 500 ml normal saline once / day for 5 days followed by oral prednisolone 60 mg daily tapered every 2 weeks according to the response. Then anti tuberculous therapy for 12 months.
Follow up: After completing the 5 days iv methylprednisolone,the patient start to walk with 2 person support(the power was grade 4).4 Weeks later he walk with one person support(the power was 4+). Follow up MRI is shown below: