Article

Cerebral contusion as a rare cause of foot drop: case report.

M.H. Haseki Educational and Research Hospital, Department of Neurosurgery, Istanbul, Turkey.
Turkish neurosurgery (impact factor: 0.62). 01/2012; 22(1):99-101. DOI:10.5137/1019-5149.JTN.2962-10.1 pp.99-101
Source: PubMed

ABSTRACT A 74-year-old woman, taking anticoagulant therapy for chronic heart failure, presented to our emergency room with left dorsiflexion weakness 8 hours from after multitrauma. A detailed neurological examination revealed only 0/5 strength in the left foot dorsiflexion without any upper motor neuron signs. While there was no spinal cord pathology detected, cranial computed tomography demonstrated a lesion in the right parasagittal localization consistent with hemorrhagic contusion. Clinical follow-ups showed an improvement in neurological findings with muscle power of 3/5 in day 5 and 5/5 in day 45 of admission. The parasagittal region has a foot localization in the homonculus and lesions in this area can rarely present with the foot drop sign. Thus, parasagittal region lesions should always be kept in mind in foot drop cases.

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Keywords

chronic heart failure
 
Clinical follow-ups
 
day 5
 
dorsiflexion weakness 8 hours
 
foot drop cases
 
hemorrhagic contusion
 
lesion
 
lesions
 
neurological findings
 
parasagittal localization consistent
 
parasagittal region
 
parasagittal region lesions
 
spinal cord pathology
 
upper motor neuron signs
 

Nurgül Balci Oktem