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https://www.readbyqxmd.com/read/27751929/intraoperative-loss-of-tibialis-anterior-tcemep-predicted-postoperative-foot-drop-a-case-report
#1
Qing Yue, Tyson Hale, Aaron Knecht, Jennifer Laidacker
BACKGROUND: Foot drop secondary to L5 root injury is a rare complication associated with lumbar surgery. To date, it is still not clear whether intraoperative neuromonitoring can detect such an injury. CASE DESCRIPTION: A 54-year-old man who had had bilateral chronic L5 radiculopathy underwent L4-S1 lumbosacral decompression and fusion. During the surgery, the patient lose transcranial electrical motor evoked potential (tceMEPs) from left tibialis anterior (TA) at the time of L5-S1 intervertebral cage placement...
October 14, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27708968/a-case-of-systemic-lupus-erythematosus-with-multiple-nodules-in-the-bilateral-lungs-and-vertebrae
#2
Takuma Tsuzuki Wada, Kojiro Sato, Toshihide Mimura
We encountered a case of a middle-aged woman with systemic lupus erythematosus. As the patient had progressive peripheral neuropathy including foot drop, we intended to treat her with intensive immunosuppressive therapy as soon as possible. Pretreatment assessment, however, revealed multiple nodular lesions in the lungs and bones, suggesting disseminated tumor metastasis or miliary tuberculosis. To our surprise, gallium and bone scintigraphy as well as cytodiagnosis revealed no sign of malignancy or infection, leading us to suspect the presence of another multisystem disorder...
March 2016: European Journal of Rheumatology
https://www.readbyqxmd.com/read/27685482/foot-drop-looking-beyond-common-peroneal-nerve-palsy-a-neurophysiology-centre-experience
#3
S M Yap, B McNamara
Foot drop is a complex symptom with a considerable range in aetiology, severity and prognosis. We aim to characterise the aetiologies of foot drop and assess the diagnostic contribution of neurophysiologic testing (NCS/EMG). Retrospective review of consecutive referrals of foot drop to the Neurophysiology Department in Cork University Hospital was performed over a two year period (January 2012 to December 2013). Of a total of 59 referrals, common peroneal nerve (CPN) palsy comprised only slightly more than half of cases; 3(5%) have central origin; 3(5%) have motor neuron disease...
2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27427994/bilateral-central-foot-drop-in-a-pediatric-patient
#4
Semra Işık, Akın Akakın, Murat Şakir Ekşi, Baran Yılmaz, Tamer Aksoy, Murat Konakçı, Zafer Orkun Toktaş, Türker Kılıç
Foot drop is an inability to dorsiflex the ankle and toe. Primary causes of foot drop are compression or lesion of the 5th lumbar nerve and entrapment of the peroneal nerve at the head of the fibula. Rarely, some central nervous system lesions lead to foot drop. A 16-year-old boy was admitted with blunt head trauma that had happened in an assault. The muscle strength of the bilateral tibialis anterior, bilateral extensor digitorum longus and bilateral extensor digitorum brevis were Medical Research Council grade 1...
2017: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27310290/clinical-variability-of-neuroacanthocytosis-syndromes-a-series-of-six-patients-with-long-follow-up
#5
J Dulski, W Sołtan, M Schinwelski, M Rudzińska, M Wójcik-Pędziwiatr, L Wictor, F Schön, A Puschmann, J Klempíř, L Tilley, J Roth, P Tacik, S Fujioka, W Drozdowski, E J Sitek, Z Wszolek, J Sławek
OBJECTIVE: To provide clinical clues to differential diagnosis in patients with chorea and other movement disorders with blood acanthocytes. METHODS: We present a long-term video accompanied follow-up of six Caucasian patients with neuroacanthocytosis from several centers, three diagnosed with chorea-acanthocytosis (ChAc): 34-y.o.(no.1), 36-y.o.(no.2), 43-y.o.(no.3), two diagnosed with McLeod Syndrome (MLS): 52-y.o.(no.4), 61-y.o.(no.5) and one 63-y.o.(no.6), a brother of no...
August 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27073701/the-neural-correlates-of-long-term-carryover-following-functional-electrical-stimulation-for-stroke
#6
Marta Gandolla, Nick S Ward, Franco Molteni, Eleonora Guanziroli, Giancarlo Ferrigno, Alessandra Pedrocchi
Neurorehabilitation effective delivery for stroke is likely to be improved by establishing a mechanistic understanding of how to enhance adaptive plasticity. Functional electrical stimulation is effective at reducing poststroke foot drop; in some patients, the effect persists after therapy has finished with an unknown mechanism. We used fMRI to examine neural correlates of functional electrical stimulation key elements, volitional intent to move and concurrent stimulation, in a group of chronic stroke patients receiving functional electrical stimulation for foot-drop correction...
2016: Neural Plasticity
https://www.readbyqxmd.com/read/27061685/intravenous-pressure-changes-in-patients-with-postthrombotic-deep-venous-obstruction-results-using-a-treadmill-stress-test
#7
R L M Kurstjens, M A F de Wolf, H W Konijn, I M Toonder, P J Nelemans, R de Graaf, C H A Wittens
UNLABELLED: Essentials Little is known about the hemodynamic consequences of deep venous obstructive disease. We investigated pressure changes in 22 patients with unilateral postthrombotic obstruction. Common femoral vein pressure significantly increased after walking, compared to control limbs. Common femoral vein hypertension could explain the debilitating effect of venous claudication. Click to hear Dr Ten Cate's perspective on postthrombotic syndrome SUMMARY: Background Little is known about the hemodynamic consequences of deep venous obstructive disease...
June 2016: Journal of Thrombosis and Haemostasis: JTH
https://www.readbyqxmd.com/read/26889290/transdural-retrieval-of-a-retropulsed-lumbar-interbody-cage-technical-case-report
#8
Hasan Aqdas Zaidi, Ashish Shah, Udaya Kumar Kakarla
The purpose of this case report was to describe a novel method to retrieve a herniated lumbar interbody cage. Transforaminal lumbar interbody fusion (TLIF) is an increasingly popular method of spinal fixation and fusion. Unexpected retropulsion of an interbody is a rare event that can result in intractable pain or motor compromise necessitating surgical retrieval of the interbody. Both anterior and posterior approaches to removing migrated cages may be associated with significant surgical morbidity and mortality...
January 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/26545719/case-report-of-bilateral-relapsing-remitting-sciatic-nerve-palsy-during-two-pregnancies
#9
Sonja Suntrup-Krueger, Matthias Schilling, Wolfram Schwindt, Heinz Wiendl, Sven G Meuth
BACKGROUND: Unlike puerperal peripheral nerve lesions, mononeuropathy during pregnancy is rarely encountered. We report a case of bilateral relapsing-remitting sciatic nerve palsy during two pregnancies. An extensive literature search in PubMed brought no similar cases. CASE PRESENTATION: A healthy young woman presented with initially unilateral sciatic nerve palsy, which manifested and worsened during the early phases of two successive pregnancies. Electrophysiology revealed axonal lesion of the sciatic nerve with predominant affection of the peroneal part...
2015: BMC Research Notes
https://www.readbyqxmd.com/read/26425013/statin-induced-bilateral-foot-drop-in-a-case-of-hypothyroidism
#10
Neera Chaudhary, Ashish Kumar Duggal, Prashant Makhija, Vinod Puri, Geeta Anjum Khwaja
Muscle involvement is a common manifestation of both clinical and subclinical hypothyroidism, with serum creatine kinase (CK) elevation being probably the most common manifestation, and is seen in up to 90% of patients, but is usually mild (less than 10 times the upper limit of normal). Rhabdomyolysis is a distinctively uncommon presentation of hypothyroidism described usually in the setting of precipitating events such as strenuous exercise, alcohol, or statin use. Rarely rhabdomyolysis and myoedema seen in hypothyroidism can be complicated by the development of anterior compartment syndrome leading to neurovascular compression...
July 2015: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/26403434/bilateral-foot-drop-as-predominant-symptom-in-nebulin-neb-gene-related-core-rod-congenital-myopathy
#11
Edoardo Malfatti, Soledad Monges, Vilma-Lotta Lehtokari, Ursula Schaeffer, Osorio Abath Neto, Kirsi Kiiski, Fabiana Lubieniecki, Ana Lía Taratuto, Carina Wallgren-Pettersson, Jocelyn Laporte, Norma B Romero
BACKGROUND: Congenital myopathies (CM) are a group of rare inherited muscle disorders characterized by particular histopathological alterations on muscle biopsy. Core-rod myopathy is a CM presenting with cores and rods as distinctive muscle morphological features. METHODS/RESULTS: We describe 3 young patients presenting congenital core-rod myopathy with bilateral foot-drop associated with autosomal recessive nebulin gene (NEB) mutations detected by exome sequencing...
October 2015: European Journal of Medical Genetics
https://www.readbyqxmd.com/read/26361461/the-heel-pad-in-congenital-idiopathic-clubfoot-implications-of-empty-heel-for-clinical-severity-assessment
#12
COMPARATIVE STUDY
Olayinka O Adegbehingbe, J E Asuquo, Mejabi O Joseph, Mohammed Alzahrani, Jose A Morcuende
BACKGROUND: Clubfoot has been evaluated in many ways, including the most common classifications of clubfoot, described by Caterrall and Piraniis based on six clinical signs. The purpose of this study was to gain better understanding of the heel pad in relation to the term "empty heel", and to propose modification of clubfoot severity scoring system based on "empty heel". METHODS: A combination of prospective study of 79 clubfoot patients treated with Ponseti method and literature review of heel pad anatomy and biomechanics...
2015: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/26289762/-a-case-of-chronic-progressive-motor-dominant-multiple-mononeuritis-associated-with-primary-sj%C3%A3-gren-s-syndrome
#13
Ban-yu Saitoh, Shintaro Hayashi, Takashi Kamada, Hiroyuki Murai, Masatoshi Omoto, Jun-ichi Kira
A 45-year-old female with a history of dry eyes presented with chronic progressive disturbance of her right finger extension, bilateral foot drops, and dysesthesia in the left lower leg. On admission, neurological examination revealed decreased tendon reflex in the right upper limb and bilateral lower limbs, and dysesthesia in the distal outer portions of the bilateral lower legs. Her vibration sensation was moderately diminished in both lower legs. Weakness ranging from moderate to severe was predominantly found in the muscles innervated by the radial (r > l), medial (r > l), ulnar (r > l), deep peroneal (r ≒ l), tibial (r < l), and medial planter nerves (r < l)...
2015: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/26167722/non-systemic-vasculitic-neuropathy-an-enigmatic-clinical-entity
#14
Sandeep Singh Lubana, Navdeep Singh, Susan Sanelli-Russo, Adriana Abrudescu
BACKGROUND: Non-systemic vasculitic peripheral neuropathy is a rare condition characterized by necrotizing inflammation resulting in luminal narrowing of the vasa nervorum, leading to ischemic injury to peripheral nerves. Here, we present the case of 63-year-old woman with subacute onset of severe hyperesthesia of the lower extremities accompanied by foot drop. CASE REPORT: A 63-year-old woman with prolonged history of uncontrolled diabetes mellitus presented with subacute onset of severe bilateral lower extremity hyperesthesia and motor weakness along with left-sided foot drop...
July 13, 2015: American Journal of Case Reports
https://www.readbyqxmd.com/read/26094647/complex-sarcolemmal-invaginations-mimicking-myotendinous-junctions-in-a-case-of-laing-early-onset-distal-myopathy
#15
Gerald F Reis, Grant de la Motte, Rebecca Gooding, Nigel G Laing, Marta Margeta
Distal myopathies are a group of clinically and pathologically overlapping muscle diseases that are genetically complex and can represent a diagnostic challenge. Laing early-onset distal myopathy (MPD1) is a form of distal myopathy caused by mutations in the MYH7 gene, which encodes the beta myosin heavy chain protein expressed in type 1 skeletal muscle fibers and cardiac myocytes. Here, we present a case of genetically confirmed MPD1 with a typical clinical presentation but distinctive light microscopic and ultrastructural findings on muscle biopsy...
December 2015: Neuropathology: Official Journal of the Japanese Society of Neuropathology
https://www.readbyqxmd.com/read/26078903/orthosis-effects-on-the-gait-of-a-child-with-infantile-tibia-vara
#16
Serap Alsancak, Senem Guner
Infantile tibia vara (ITV) is an acquired form of tibial deformity associated with tibial varus and internal torsion. As there is currently insufficient data available on the effects of orthotics on gait parameters, this study aimed to document the influence of orthosis on walking. A male infant with bilateral tibia vara used orthoses for five months. Gait evaluations were performed pre- and posttreatment for both legs. The kinematic parameters were collected by using a motion analysis system. The orthotic design principle was used to correct the femur and tibia...
2015: Case Reports in Pediatrics
https://www.readbyqxmd.com/read/26003198/changes-in-center-of-pressure-displacement-with-the-use-of-a-foot-drop-stimulator-in-individuals-with-stroke
#17
Karen J Nolan, Mathew Yarossi, Patrick Mclaughlin
BACKGROUND: Center of pressure measured during gait can provide information about underlying control mechanisms and the efficacy of a foot drop stimulator. This investigation evaluated changes in center of pressure displacement in individuals with stroke with and without a foot drop stimulator. METHODS: Individuals with stroke-related foot drop (n=11) using a foot drop stimulator and healthy controls (n=11). Walking speed and bilateral center of pressure variables: 1) net displacement; 2) position and maximum displacement; and 3) mean velocity during walking...
August 2015: Clinical Biomechanics
https://www.readbyqxmd.com/read/25996968/severe-acute-inflammatory-demyelinating-polyradiculoneuropathy-with-persistent-weakness-associated-with-tumor-like-nerve-root-enlargement
#18
Sharon S Stoll, Goran Rakocevic
We report a 23-year-old woman with rapid onset of proximal and distal limb weakness and areflexia, associated with tumor-like spinal nerve root enlargement and markedly elevated cerebrospinal fluid protein. Our patient developed the inability to walk within days, without preceding illness. Within two weeks, she had near-complete bilateral wrist and foot drop. Her cranial nerves and respiratory function remained intact. She received intravenous immunoglobulin early on for suspected Guillain-barre syndrome but remained wheelchair-bound until 6 Plasma exchange sessions were completed...
June 2015: Journal of Clinical Neuromuscular Disease
https://www.readbyqxmd.com/read/25978101/drop-landing-performance-and-knee-extension-strength-after-anterior-cruciate-ligament-reconstruction
#19
Christopher M Kuenze, Nathaniel Foot, Susan A Saliba, Joseph M Hart
CONTEXT: Individuals with a history of anterior cruciate ligament reconstruction (ACLR) are at greater risk of reinjury and developing early-onset osteoarthritis due to persistent abnormal joint loading. Real-time clinical assessment tools may help identify patients experiencing abnormal movement patterns after ACLR. OBJECTIVE: To compare performance on the Landing Error Scoring System (LESS) between participants with ACLR and uninjured control participants and to determine the relationship between LESS score and knee-extension strength in these participants...
June 2015: Journal of Athletic Training
https://www.readbyqxmd.com/read/25972945/acute-bilateral-isolated-foot-drop-report-of-two-cases
#20
H Kertmen, B Gürer, E R Yimaz, Z Sekerci
Foot drop is defined as the weakness of the foot and ankle dorsiflexion. Acute unilateral foot drop is a well-documented entity, whereas bilateral foot drop is rarely documented. Slowly progressing bilateral foot drop may occur with various metabolic causes, parasagittal intracranial pathologies, and cauda equina syndrome. Acute onset of bilateral foot drop due to disc herniation is extremely rare. Here we present two cases of acute bilateral foot drop due to disc herniation. The first patient was a 45-year-old man presented with acute bilateral foot drop, without any sign of the cauda equina syndrome...
April 2015: Asian Journal of Neurosurgery
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