A bilateral foot drop due to neuroschistosomiasis

Wilbers, Joyce; Idema, Albert J. S.; Gijtenbeek, Anja

doi:10.1007/s00415-010-5464-0

Cited by 7 publications

(7 citation statements)

References 7 publications

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“…Among the cerebral causes of foot drop, parasagittal meningioma, neuroschistosomiasis, high-grade glioma, granulomatous lesion including tuberculoma involving motor cortex has been described in literatures 1–3. This case needs to be considered as a rare presentation of relatively common central nervous system infections.…”

Section: Descriptionmentioning

confidence: 87%

Intracranial tuberculoma in motor cortex: a central cause of isolated unilateral foot drop

Panda

2013

BMJ Case Reports

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Section: Descriptionmentioning

confidence: 87%

Intracranial tuberculoma in motor cortex: a central cause of isolated unilateral foot drop

Panda

2013

BMJ Case Reports

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“…MRI can show inflammatory granulomas in the cerebral cortex with heterogeneous enhancement of gadolinium contrast, and are surrounded by variable degrees of edema ( Figure 1) [25,26]. Brain MRI findings are unspecific, so a wide list of conditions should be considered in the differential diagnosis of neuroschistosomiasis (Box 1).…”

Section: Clinical Featuresmentioning

confidence: 96%

Neuroschistosomiasis

Carod-Artal¹

2010

Expert Review of Anti-infective Therapy

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Neuroschistosomiasis, the infection of the CNS by Schistosoma spp., is a neglected and under-recognized complication of schistosomiasis. Cerebral and spinal neuroschistosomiasis can provoke severe disability. Neurological symptoms occur as a consequence of the immune reaction around the eggs deposited in the CNS. Cerebral neuroschistosomiasis may present with altered sensorium, headache, seizures and focal neurological deficit. Pseudotumoral and cerebellar neuroschistosomiasis may provoke intracranial hypertension and hydrocephalus. Brain-enhancing lesions with associated mass effect can be observed on MRI. Transverse myelitis and myeloradiculopathy affecting the conus medullaris and/or cauda equina are the most common spinal cord syndromes. Transverse myelitis can present as flaccid arreflexic paraplegia with sensory level and sphincter dysfunction. Praziquantel and corticoids have been successfully used to treat neuroschistosomiasis. Ventricle-peritoneal shunt may be necessary to treat hydrocephalus associated with tumor-like brain and/or cerebellar schistosomiasis.

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“…Bilateral foot drop is also known entity but is rare in comparison to unilateral foot drop. Bilateral foot drop reported in literature are mostly insidious and slowly progressive, reported in patients with anorexia nervosa [3], hypothyroidism [4], crohn's disease [5], neuroschistosomiasis [6] and intracranial pathologies [7]. Acute onset bilateral foot drop is also reported in cases of disc herniation [2]and cauda equina syndrome [8].…”

Section: Introductionmentioning

confidence: 99%

Bilateral Traumatic Foot Drop – An Unusual Injury – Isolated Case Report

Jindal¹

2018

OROAJ

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Introduction: Foot drop is defined as weakness of foot and ankle dorsiflexion. Acute unilateral foot drop is relatively common entity whereas bilateral foot drop is rare. Slowly progressive as well as acute onset foot drop due to spinal problems are mentioned in literature, traumatic bilateral foot drop has not been reported till date.Case Report: A 45-year-old male presented with an unusual mode of injury with hot rod passing obliquely through his left lower limb and right buttock leading to neurogenic foot drop on right side and foot drop due to tendomuscular scarring on left side. He was managed in a staged manner and a favourable outcome was achieved.Discussion: Multiple techniques of tendon transfer are described in literature for foot drop. Tendon to tendon split transfer of tibialis posterior to tibialis anterior and EHL-EDL is one among them. Good functional outcome can be achieved by management plan tailoured to patient and his needs

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A bilateral foot drop due to neuroschistosomiasis

Cited by 7 publications

References 7 publications

Intracranial tuberculoma in motor cortex: a central cause of isolated unilateral foot drop

Intracranial tuberculoma in motor cortex: a central cause of isolated unilateral foot drop

Neuroschistosomiasis

Bilateral Traumatic Foot Drop – An Unusual Injury – Isolated Case Report

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