Spontaneous Recovery of Complete Foot Drop in Case of Lumbar Disk Herniation: Catcher in the Rye?

K.V.L., Narasinga Rao; Deora, Harsh; Vazhayil, Vikas; Tatineni, Suresh

doi:10.1016/j.wneu.2018.09.119

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…None of the above-quoted studies have included non-operative patients for evaluation of the recovery of tibialis anterior muscle strength in patients with lumbar protrusion of intervertebral disc. Upon detailed literature search, we observed only one such case reporting the similar surprising phenomenon of spontaneous recovery of complete foot drop in lumbar protrusion of intervertebral disc [11]. Although the duration of foot drop was shorter in this case indicating no permanent damage to the nerve root.…”

Section: Discussionmentioning

confidence: 70%

Spontaneous Recovery in Complete Foot Drop in a Case of Lumbar Disc Herniation: A Neurological Surprise

Chandankhede¹,

Talwar²,

Acharya³

et al. 2022

Cureus

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Lumbar intervertebral disc prolapse has been associated with radiculopathy and the sensory and motor changes that occur as the result of neural compression. The most important motor symptom is foot drop. Occurrence of foot drop in lumber protrusion of intervertebral disc prompts for the surgical treatment of the condition. Here, we report a case of a 32-year-male presented with unilateral foot drop, diagnosed as lumbar protrusion of intervertebral disc and recovered significantly without surgery. The good neurological outcome of the conservative management, in this case, puts the surgeon in a quandary whether to offer surgical management or not. A clinician should always remember this outcome before choosing the management plan for lumbar protrusion of intervertebral disc although rare.

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Section: Discussionmentioning

confidence: 70%

Spontaneous Recovery in Complete Foot Drop in a Case of Lumbar Disc Herniation: A Neurological Surprise

Chandankhede¹,

Talwar²,

Acharya³

et al. 2022

Cureus

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“…Of note, five of the seven patients (two in primary care and three in the emergency department) needed to attend more than once before any onward referral for investigation was made. This may reflect some uncertainty amongst nonspecialist colleagues on the frontline, which may be arising from a lack of clarity within the specialist (i.e., neurosurgical/ spinal) community itself, where the timing of surgery for acute discogenic foot drop remains a point of discussion [23,29]. We hope that the series presented will help in timely suspicion and investigation of acute lumbar spine aetiology.…”

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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Spontaneous Recovery of Complete Foot Drop in Case of Lumbar Disk Herniation: Catcher in the Rye?

Cited by 2 publications

References 9 publications

Spontaneous Recovery in Complete Foot Drop in a Case of Lumbar Disc Herniation: A Neurological Surprise

Spontaneous Recovery in Complete Foot Drop in a Case of Lumbar Disc Herniation: A Neurological Surprise

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

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