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Acute Bilateral Foot Drop as Presenting Symptom of Hemorrhagic Synovial Cyst of Lumbar Spine.

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BACKGROUND Acute bilateral foot drop is a rare clinical presentation. CASE DESCRIPTION A 77-year-old male presented with acute bilateral weakness of the foot and ankle dorsiflexion. Magnetic resonance imaging of… Click to show full abstract

BACKGROUND Acute bilateral foot drop is a rare clinical presentation. CASE DESCRIPTION A 77-year-old male presented with acute bilateral weakness of the foot and ankle dorsiflexion. Magnetic resonance imaging of the lumbar spine revealed ligamentum flavum hypertrophy, as well as a mass lesion that appeared hyperintense on T1-weighted images and hypointense on T2-weighted images. Emergent decompressive laminectomy and hemorrhagic synovial cyst excision were performed. Histopathologic examination of the tissue revealed a synovial cyst with hemorrhage. CONCLUSION Here, we describe a unique case of a hemorrhagic synovial cyst with a presenting symptom of acute bilateral foot drop.

Keywords: bilateral foot; synovial cyst; acute bilateral; foot drop

Journal Title: World neurosurgery
Year Published: 2017

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