Isolated Painless Foot Drop due to Cerebral Infarction Mimicking Lumbar Radiculopathy: A Case Report.
10.14245/kjs.2015.12.3.210
- Author:
Ji Yong KIM
1
;
Do Keun KIM
;
Seung Hwan YOON
Author Information
1. Department of Neurosurgery, Inha University College of Medicine, Incheon, Korea. nsyoon@gmail.com
- Publication Type:Case Report
- Keywords:
Foot drop;
Cerebral infarction;
Lumbar disc herniation;
Monoparesis;
Corticospinal tract;
Radiculopathy
- MeSH:
Cerebral Infarction*;
Foot*;
Humans;
Infarction;
Motor Cortex;
Muscles;
Neural Pathways;
Paresis;
Pyramidal Tracts;
Radiculopathy*
- From:Korean Journal of Spine
2015;12(3):210-212
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although they usually originate from peripheral problems, foot drop is caused by lesions affecting the neural pathway related to dorsiflexor muscles, whether of central or peripheral origin. We present a patient with sudden isolated foot drop caused by a small infarct in the primary motor cortex mimicking a peripheral origin. This report indicates that patients presenting isolated foot drop should be managed carefully and the possibility of both central and peripheral causes should be considered. To our knowledge, this is the first report of sudden isolated foot drop caused by a cortical infarction mimicking lumbar radiculopathy.