Ganglioneuroma of Spinal Nerve Root: A Rare Case Mimicking Herniated Lumbar Disc and Lumbar Radiculopathy

Ganglioneuromas are rare benign tumors arising from neuroepithelial cells. Even more rarely they involve lumbar spinal nerve roots. We report a 34-year-old male patient who presented with typical lumbar radiculopathy. He had low back pain radiating to the right lower leg with numbness. His MRI revealed a herniated disc at L5-S1 compressing the right nerve root. Surgery was planned for microdiscectomy and nerve root decompression. Right L5 hemilaminotomy was performed and the nerve root was identified. Surprisingly the nerve root was markedly inflamed and there was no obvious disc tissue herniation. Considering it to be a spinal nerve root tumor, the dura of the nerve root was opened and nerve root mass exposed. Subtotal resection was performed. Biopsy showed Ganglioneuroma. The main purpose of this article is to report such a rare case and also to review the literature

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Research PaperThe natural resources of most developing countries are under increasing stress, and many nations are increasingly concerned about achieving environmental sustainability through efficient use of land and water resources. As population is escalating very fast and consumer demand for high value agricultural products (fruits and vegetables, animal or fish products, etc.) is also changing rapidly. Hence, need to take stronger step by national governments to monitor their natural resources and take immediate steps to maintain these resources when being overused. Data generation by visiting the place physically is tedious and time consuming. Modern ICT techniques provide solutions helpful in collecting data without visiting the place from distance. With development of modern technologies, ICTs are of immense use in Sustainable Natural Resource Management. These technologies are time and money saving, accurate compared to conventional assessment. Products of these technologies help the scientists and policy makers for taking appropriate decision in agriculture production. It is thus important to recognize that the dissemination of these land and water-use management practices are largely knowledge-based; therefore, developing countries will be required to make substantial investment in public extension to train small and medium-scale farmers how to use Sustainable Natural Resource Management (SNRM) practices.Not Availabl