Case report of a partially thrombosed ACoA aneurysm presenting with bilateral foot drop

Sweid, Ahmad; Tjoumakaris, Stavropoula; Herial, Nabeel A.; Gooch, M. Reid; Rosenwasser, Robert H.; Jabbour, Pascal

doi:10.1016/j.clineuro.2019.105490

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…The somatic organization of the motor neurons for the lower extremity are located on the medial homunculus of the primary motor cortex at the precentral gyrus, and neuronal tracts go down through the internal capsule to the ventral grey matter of the spinal cord as cortico-spinal tract; an insult to this circuit due to ischemia or compression may lead to FD [ 2 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Second ever reported case of central cause of unilateral foot drop due to cervical disc herniation: Case report and review of literature

Alhardallo

Ansari

Baco

2021

International Journal of Surgery Case Reports

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Background Foot drop is defined as a weakness in the ankle and foot dorsiflexors. A disruption of the neural pathway starting from the motor prefrontal cortex and ending in the peroneal nerve can lead to foot drop. Foot drop due to lower motor neuron injury is well documented. However, foot drop due to a central cause of cervical disc prolapse is very rare. Case presentation A 55-year-old male presenting with neck pain, right and left arms radicular pain and numbness, and unilateral right foot drop following cervical disc prolapse. The patient presented with upper motor neuron lesion signs. MRI showed cervical disc prolapse at two levels, confirming central cause of foot drop. The patient underwent anterior cervical decompression and fusion surgery. Discussion Following decompression and fusion of involved cervical spine disc pathology, the patient had complete recovery of his right foot drop. Conclusions Central causes, although rare, should be considered in the differential diagnosis of foot drop. Causes could be due to the compression effect of the cortico-spinal tract of the cervical spinal cord. Satisfactory results can be achieved upon correcting the causative lesion.

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Section: Discussionmentioning

confidence: 99%

Second ever reported case of central cause of unilateral foot drop due to cervical disc herniation: Case report and review of literature

Alhardallo

Ansari

Baco

2021

International Journal of Surgery Case Reports

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“…Reports of traumatic brain injury, and an anterior communicating artery intracranial aneurysm, presenting with acute bilateral foot drop highlight the need to exclude cranial/ central causes when no other pathology can be found [14,28,34]. Both the brain and spinal cord could be the source of the presentation due to specific vascular, neoplastic, infective, or demyelinating lesions.…”

Section: Discussionmentioning

confidence: 99%

Acute bilateral foot drop with or without cauda equina syndrome—a case series

et al. 2021

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Introduction Isolated acute bilateral foot drop due to degenerative spine disease is an extremely rare neurosurgical presentation, whilst the literature is rich with accounts of chronic bilateral foot drop occurring as a sequela of systemic illnesses. We present, to our knowledge, the largest case series of acute bilateral foot drop, with trauma and relevant systemic illness excluded. Methods Data from three different centres had been collected at the time of historic treatment, and records were subsequently reviewed retrospectively, documenting the clinical presentation, radiological level of compression, timing of surgery, and degree of neurological recovery. Results Seven patients are presented. The mean age at presentation was 52.1 years (range 41–66). All patients but one were male. All had a painful radiculopathic presentation. Relevant discopathy was observed from L2/3 to L5/S1, the commonest level being L3/4. Five were treated within 24 h of presentation, and two within 48 h. Three had concomitant cauda equina syndrome; of these, the first two made a full motor recovery, one by 6 weeks follow-up and the second on the same-day post-op evaluation. Overall, five out of seven cases had full resolution of their ankle dorsiflexion pareses. One patient with 1/5 power has not improved. Another with 1/5 weakness improved to normal on the one side and to 3/5 on the other. Conclusion When bilateral foot drop occurs acutely, we encourage the consideration of degenerative spinal disease. Relevant discopathy was observed from L2/3 to L5/S1; aberrant innervation may be at play. Cauda equina syndrome is not necessarily associated with acute bilateral foot drop. The prognosis seems to be pretty good with respect to recovery of the foot drop, especially if partial at presentation and if treated within 48 h.

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Isolated Foot Drop Due to a Cerebral Infarction Mimicking Lumbar Radiculopathy: A Case Report and Literature Review

Almutairi,

Alqahtani,

Alsayari

et al. 2025

Cureus

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Case report of a partially thrombosed ACoA aneurysm presenting with bilateral foot drop

Cited by 3 publications

References 5 publications

Second ever reported case of central cause of unilateral foot drop due to cervical disc herniation: Case report and review of literature

Second ever reported case of central cause of unilateral foot drop due to cervical disc herniation: Case report and review of literature

Acute bilateral foot drop with or without cauda equina syndrome—a case series

Isolated Foot Drop Due to a Cerebral Infarction Mimicking Lumbar Radiculopathy: A Case Report and Literature Review

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