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: