deletions | additions       diff --git a/case report.md b/case report.md  index c848c0c..21b8564 100644  --- a/case report.md  +++ b/case report.md 
...
The patient was then refered to the neurosurgeon whom performed a full physical examination, she mainly complain of lower abdominal pain with overflow incontinence, sciatic pain in both legs with a predominance on the left side, and mechanical lower lumbar pain. The neurological examination showed no motor deficits in the lower extremities with preservation of tone and reflexes, sensitivity was patchy in both legs around L5 and S1 dermatomes, but resulted quite inconsistent. An MRI (Figure 1.) showed an anterior pre-sacral cyst eroging the anterior wall of S2 and S3. The collection measured around 5x5cm, compressed the rectum and the bladder in a significant way.  Due to these symptoms and the presence of a growing mass a new surgical procedura consisting in a posterior sacral laminectomy and ligation of the meningocele cyst was proposed. The patien was very unkeen in further surgery, particulary after the results of the previous ones, however, she was so ill that she accepted surgery.   The procedure was performed in a prone potition