We report the case of a 56-year-old male with Hodgkin's disease who was being treated with mechlorethamine, vincristine, procarbazine, and prednisone (MOPP) and who presented with paresthesias, bilateral leg weakness, and foot drop. MRI revealed a paravertebral abscess with intraspinal extension that was drained and treated with vancomycin. Foot drop was persistent after the treatment. The objective of this case report is to highlight the diagnostic challenge posed by the clinical presentation of foot drop in a medical patient with multiple co-morbidities.
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http://dx.doi.org/10.1016/j.ejim.2006.07.010 | DOI Listing |
Arch Bone Jt Surg
January 2024
Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Flail foot is a condition characterized by a significant weakness in ankle dorsiflexion, resulting in limited or no active mobility in the ankle. To address this issue, we described a novel approach called tenodesis, which has been developed for ankle joint stabilization. This technique utilizes the patient's tendons to minimize potential complications.
View Article and Find Full Text PDFBMJ Neurol Open
January 2025
Research Group experimental Neurosurgery and Neuroanatomy and the Leuven Brain Institute, KU Leuven, Leuven, Flanders, Belgium.
Objective: Diffusion tensor imaging (DTI) showed promising results in diagnosing upper limb neuropathies, but its value in patients with foot drop due to peroneal neuropathy has not yet been investigated. We aim to establish reference values for DTI metrics of the healthy peroneal nerve and to evaluate differences in DTI metrics between patients and healthy controls.
Methods: Diffusion-weighted images (DWI) from 22 pathological nerves, 14 asymptomatic patients' nerves and 65 healthy peroneal nerves were processed for quantitative assessment of fractional anisotropy (FA), radial diffusivity (RD), axial diffusivity and mean diffusivity.
Gait Posture
January 2025
The University of Tokyo, Department of Biological Sciences, 7-3-1 Hongo, Bunkyo, Tokyo 113-0033, Japan. Electronic address:
Background: Several foot models have been developed to estimate the behaviors of the plantar aponeurosis (PA) during movements. However, these models did not consider the actual path of the PA, and their validity remains insufficiently investigated due to the absence of direct PA measurement during movements.
Research Question: Would developing a foot model that considers the actual path of the PA improve the accuracy of estimating the PA behavior during movements?
Methods: The foot model was developed based on the CT scans of the six feet with 20 markers attached.
BMJ Case Rep
January 2025
Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Slimmer's paralysis is a peripheral mononeuropathy of the common peroneal (fibular) nerve (CPN/CFN), typically associated with rapid weight loss resulting in loss of subcutaneous fat pad and subsequent neural compression at the fibular head. Here, we describe a young man with a 1-year history of right-sided foot drop, which developed following a rapid intentional weight loss of 11 kg over a period of 15 days. This weight loss was preceded by rapid weight gain over 2 days owing to binge eating.
View Article and Find Full Text PDFJ Brachial Plex Peripher Nerve Inj
January 2025
Department of Hand, Plastic, Reconstructive and Burn Surgery, BG Klinik Tuebingen, University of Tübingen, Tübingen, Germany.
Foot drop is a challenging condition that significantly impacts the affected patient's mobility and quality of life. Tendon transfer has emerged as a viable treatment option. We hereby present data of the tendon transfer procedures in patients with foot drop in our department.
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