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

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

  • By

  • Andreas K. Demetriades

  • Marco Mancuso-Marcello

  • Asfand Baig Mirza

  • Joseph Frantzias

  • David A. Bell

  • Richard Selway

  • Richard Gullan

  • February 7, 2021

  • 0 min

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  • 1

    Acute bilateral foot drop is a rare clinical presentation, often due to degenerative spinal disease, with only 6 cases reported previously.

  • 2

    The case series presents 7 patients with acute bilateral foot drop, all linked to degenerative spinal disease, excluding trauma and systemic illness.

  • 3

    The mean age of patients was 52.1 years, predominantly male, with most presenting with significant weakness in ankle dorsiflexion.

  • 4

    Five out of seven patients achieved full resolution of ankle dorsiflexion paresis after surgical intervention within 48 hours.

  • 5

    Only three patients had concomitant cauda equina syndrome, indicating that acute bilateral foot drop can occur without it.

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