An Unexpected Reason for Isolated Foot Drop: Acute Stroke | Kaykisiz | Pakistan Journal of Medical Sciences Old Website

An Unexpected Reason for Isolated Foot Drop: Acute Stroke

Eylem Kuday Kaykisiz, Erden Erol Unluer


The differential diagnosis of acute weakness (AW) in emergency departments (ED) is broad and includes both neurological and medical reasons. We describe an 81-year-old female patient with cortical infarct presenting with sudden onset isolated foot drop, which to the best of our knowledge, was the third case in English literature.An 81-year-old female was admitted to our ED with a 12-hour history of left-sided foot drop. Her motor strength was normal throughout the upper and lower extremities, except for weakness in the left ankle and toe dorsiflexors. Other examination findings were unremarkable. Diffusion-weighted magnetic resonance imaging (DWI-MR) revealed a focal high intensity signal in the right precentral gyrus at high convexity with a cerebral infarct. Detailed physical examinations and histories are extremely important for exact diagnosis and differentials of patients with AW. This case reminds us that a small infarct area of central nervous system may mimic peripheral nerve lesions, especially in elderly patients. Although the presentation of such complaints may play a distracting role to emergency physicians, strokes must always be taught regarding elderly patients and, if necessary, infarct areas should be confirmed with DWI-MR.


How to cite this:Kaykisiz EK, Unluer EE. An Unexpected Reason for Isolated Foot Drop: Acute Stroke. Pak J Med Sci. 2017;33(5):1288-1290.   doi:

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