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Foot Drop

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Richard Brown
Richard Brown

Neurology Case Presentation regarding an unusual case of foot-drop

Economy & FinanceHealth & Medicine
1 of 48
FOOT DROP AskTheNeurologist.Com Author Anon
The Case of Mr. A. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HPC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HPC II ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HPCIII ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PMH I ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PMH II ,[object Object],[object Object],[object Object],[object Object],[object Object]
PMH III ,[object Object],[object Object],[object Object]
PMH IV ,[object Object],[object Object],[object Object],[object Object],[object Object]
PMH IV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Social History ,[object Object],[object Object],[object Object],[object Object],[object Object]
Examination in ER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examination in ER II ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
During hospitalisation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examination follow-up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examination follow-up II ,[object Object],[object Object],[object Object],[object Object]
Investigations 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],}
Investigations 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrophysiology timescales ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations 3 ,[object Object],[object Object],[object Object]
DD of Foot-drop ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Two types of disc herniation. Dorsolateral –a, lateral -b
Dorsal view of the lumbar spine and sacrum showing different types of disc herniation
 
 
 
 
LUMBOSACRAL PLEXUS
 
 
COMMON PERONEAL NERVE
Sural nerve
Sensory loss in common peroneal nerve lesions
Sensory loss in deep peroneal nerve lesions
Weight loss predisposes }
 
 
DD of Foot-drop ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DD of Foot-drop ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Absence of motor and sensory involvement expected to be associated with various syndromes Normal NCV / EMG with profound weakness ( at 3 weeks)
Deep Venous Thrombosis: Risk Factor Assessment and Diagnosis Emergency Medicine Review 1996 “ Be alert for psychiatric patients or prisoners who may tie a tourniquet around their thigh to produce factitious DVT .”
Non-Organic disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Munchausen Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Munchausen syndrome II ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Munchausen Syndrome III ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Possible evolution ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you! ,[object Object],[object Object]

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