Giant popliteal aneurysm presenting with foot drop

Abstract

Popliteal aneurysms are the most common peripheral arterial aneurysm and occur most commonly among older men with established cardiovascular disease. Popliteal aneurysms are asymptomatic or otherwise present with intermittent claudication, pressure symptoms in the popliteal fossa, distal embolization, and, rarely, rupture. We present a patient with a remarkably large popliteal aneurysm of 10 cm presenting as a popliteal swelling with foot drop and no signs of limb ischemia. According to our literature search, it is the largest reported popliteal aneurysm, and its corresponding symptoms are unusual. The diagnostic workup and treatment are presented.

Recovery of ankle dorsiflexion weakness following lumbar decompressive surgery

“…Numerous case reports describe foot-drop in association with unusual aetiology, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] and the outcomes of operative management or rehabilitation for this disabling deficit have been described. [19][20][21][22] Some publications describe the natural history and patterns of neural compression in patients with ADF weakness due to lumbar compressive pathology and only a few articles specifically evaluate the recovery of ADF weakness after decompressive surgical intervention.…”

Peripheral Artery Aneurysm

“…A small number of individuals present with compressive symptoms such as pain, or sensory or motor deficits from compression of the sciatic, tibial, or peroneal nerves. 23 Deep venous thrombosis, varicose veins, or phlebitis are other rare occurrences.…”

Peripheral neuropathy and lower limb swelling caused by a giant popliteal fossa hematoma

“…This case illustrates that while focal lesions rarely cause tibial neuropathies [2][3][4], an expanding hematoma or a large popliteal aneurysm [3] should be considered in anti-coagulated vasculopathic patients with unilateral progressive lower limb swelling and distal weakness. Sagital and coronal CT scan showing a large (9.5 9 9.5 9 10 cm), well-circumscribed hematoma abutting the right distal femur.…”