足下垂-常见的实体,不常见的病因

R. Jain, Y. Jain, T. Desai, T. Srivastav
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引用次数: 0

摘要

足下垂定义为胫前肌无力,常伴有拇长伸肌和指长伸肌无力。硬脑膜动静脉瘘主要表现为进行性脊髓病,但也可表现为上肢和下肢运动累及征象。数字减影血管造影是血管畸形治疗前评估的决定性放射学方法。治疗方式包括手术切除或血管造影引导下的畸形栓塞。我们报告一例脊髓房室瘘,表现为单侧足下垂,在神经放射学干预后表现出明显的改善。在此,我们报告一个罕见的脊髓房瘘表现为足下垂,在胶水栓塞后恢复良好。
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Foot drop – Common entity, uncommon aetiology
Foot drop is defined as the weakness of the tibialis anterior muscle and is frequently accompanied by weakness of the extensor hallucis longus and extensor digitorum longus. Dural arteriovenous (AV) fistula present mainly as progressive myelopathy, though it can also appear as amalgam of upper and lower motor involvement signs. Digital subtraction angiography is the definitive radiological procedure in the pre-treatment evaluation of vascular malformation. Treatment modalities include surgical resection or angiographically guided embolisation of malformation. We are reporting a case of spinal AV fistula presenting as unilateral foot drop, which showed significant improvement following the neuro-radiological intervention. Here, we report a rare presentation of spinal AV fistula as foot drop, showing good recovery following glue embolisation.
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