• World Neurosurg · Dec 2017

    Case Reports

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

    • Ali Börekci, Pınar Kuru Bektaşoğlu, Bora Gürer, and Erhan Çelikoğlu.
    • Department of Neurosurgery, Turkish Ministry of Health, University of Health Sciences, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey.
    • World Neurosurg. 2017 Dec 1; 108: 999.e7-999.e9.

    BackgroundAcute bilateral foot drop is a rare clinical presentation.Case DescriptionA 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.ConclusionHere, we describe a unique case of a hemorrhagic synovial cyst with a presenting symptom of acute bilateral foot drop.Copyright © 2017 Elsevier Inc. All rights reserved.

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