Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : October | Volume : 11 | Issue : 10 | Page : OD03 - OD05

Unilateral Foot Drop: An Unusual Presentation of a more Common Disease

Rameshwar Nath Chaurasia, Abhishek Pathak, Vijay Nath Mishra, Deepika Joshi

1. Associate Professor, Department of Neurology, Institute of Medical Sciences Banaras, Hindu University, Varanasi, Uttar Pradesh, India. 2. Assistant Professor, Department of Neurology, Institute of Medical Sciences Banaras, Hindu University, Varanasi, Uttar Pradesh, India. 3. Professor, Department of Neurology, Institute of Medical Sciences Banaras, Hindu University, Varanasi, Uttar Pradesh, India. 4. Professor, Department of Neurology, Institute of Medical Sciences Banaras, Hindu University, Varanasi, Uttar Pradesh, India.

Correspondence Address :
Dr. Rameshwar Nath Chaurasia,
Associate Professor, Department of Neurology, Institute of Medical Sciences Banaras, Hindu University,
Varanasi-221005, Uttar Pradesh, India.
E-mail: goforrameshwar@gmail.com

Abstract

An isolated and unilateral foot drop due to intracranial lesion is quite rare. Presenting herein a case of a 14-year-old female who complained of inability to wear and hold slipper in her left foot. Detailed neurological examination revealed left foot dorsiflexion which had 1/5 muscle power along with brisk left ankle reflex. Magnetic resonance imaging of the brain revealed multiple conglomerate inflammatory granulomas in cerebrum and cerebellum, larger one in right parasagittal region with perifocal oedema. Magnetic resonance spectrum was suggestive of tuberculoma. Her chest X-ray chest revealed milliary shadowing. She was put on anti-tubercular drugs, steroid and a prophylactic anti-epileptic drug. The dorsiflexion improved to grade 4/5 after three weeks of treatment. The motor homunculus for foot is located in parasagittal area. Therefore, in patients with foot drop, we must keep high index of suspicion for parasagittal lesions, so that prompt diagnosis and early management can be done to prevent complications and improve the quality of life of patient.

Keywords

Lower motor neuron, Magnetic resonance imaging, Spastic foot drop, Tuberculoma, Upper motor neuron

How to cite this article :

Rameshwar Nath Chaurasia, Abhishek Pathak, Vijay Nath Mishra, Deepika Joshi. UNILATERAL FOOT DROP: AN UNUSUAL PRESENTATION OF A MORE COMMON DISEASE. Journal of Clinical and Diagnostic Research [serial online] 2017 October [cited: 2018 Jan 21 ]; 11:OD03-OD05. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=October&volume=11&issue=10&page=OD03-OD05&id=10738

DOI and Others

DOI: 10.7860/JCDR/2017/26249.10738

Date of Submission: Dec 22, 2016
Date of Peer Review: Mar 09, 2017
Date of Acceptance: May 13, 2017
Date of Publishing: Oct 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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