A rare case of parasagittal meningioma causing isolated foot drop: case report and review of the literature.

Acta neurologica Belgica
Hrvoje BilićErvina Bilić

Abstract

Foot drop represents a very common reason for a neurologist referral and is often first seen in emergency departments or by a general practitioner. This condition is defined as weakness of ankle dorsiflexion (mainly through tibialis anterior muscle weakness). The most common causes include lower motor neuron lesion, with L4-L5 radiculopathy and peroneal neuropathy being the most frequent ones. Classical diagnostic pathway includes a thorough medical history, detailed neurological examination, radiological studies (MRI of the lumbosacral spine), EMG and nerve conduction studies, and a battery of laboratory tests. The absence of abnormal radiological and neurophysiological findings when searching for the most common causes of foot drop, should raise a red flag and broaden the diagnostic yield for central nervous system pathology (upper motor neuron, UMN) as a possible cause of foot drop. Central causes of isolated foot drop are very rare, with less than 20 cases reported in literature so far, and seven of them being a meningioma. We present a case of a 79-year-old female patient with an isolated foot drop (with no UMN signs on the initial examination) and parasagittal meningioma. Central causes of foot drop should be suspected wh...Continue Reading

References

Jan 1, 1995·Surgical Neurology·H EskandaryM T Yasamy
Sep 1, 1996·Postgraduate Medical Journal·R Lath, V Rajshekhar
Jul 4, 1998·Minimally Invasive Neurosurgery : MIN·A BayseferN Seber
Aug 26, 2004·British Journal of Neurosurgery·N OzdemirU D Acar
Mar 28, 2007·The Journal of Spinal Cord Medicine·Franklin D WesthoutMark E Linskey
Mar 28, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Selin TuralNecmettin M Pamir
May 27, 2008·Practical Neurology·John D Stewart
May 5, 2011·Surgical Neurology International·Ganesalingam NarenthiranJeremy P Holland
Dec 25, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Chad PoageBrandon Scott
Jan 6, 2016·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Floriana PichiorriMaurizio Inghilleri
Aug 29, 2018·Radiology·Steven P DanielsDarryl B Sneag

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