Bilateral foot drop caused by T12 infectious spondylitis after vertebroplasty: a case report
The most common cause of foot drop is lumbar degenerative disc herniation, particularly at L4/5. We present a rare case of spinal cord injury accompanied by a thoracolumbar lesion that presented with bilateral foot drop. A 69-year-old male patient presented with sudden-onset severe bilateral leg pai...
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Korean Society of Traumatology
2022-03-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0083.pdf |
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| author | Dong Hwan Kim Yong Beom Shin Mahnjeong Ha Byung Chul Kim In Ho Han Kyoung Hyup Nam |
| author_facet | Dong Hwan Kim Yong Beom Shin Mahnjeong Ha Byung Chul Kim In Ho Han Kyoung Hyup Nam |
| author_sort | Dong Hwan Kim |
| collection | DOAJ |
| description | The most common cause of foot drop is lumbar degenerative disc herniation, particularly at L4/5. We present a rare case of spinal cord injury accompanied by a thoracolumbar lesion that presented with bilateral foot drop. A 69-year-old male patient presented with sudden-onset severe bilateral leg pain and bilateral foot drop. Radiologic findings revealed T12 spondylitis compressing the conus medullaris. He had undergone vertebroplasty for a T12 compression fracture after a fall 6 months before. A physical examination showed bilateral foot drop, paresthesia of both L5 dermatomes, increased deep tendon reflex, and a positive Babinski sign. An acute bilateral L5 root lesion and a conus medullaris lesion were suspected based on electromyography. A surgical procedure was done for decompression and reconstruction. After the operation, bilateral lower extremity muscle strength recovered to a good grade from the trace grade, and the patient could walk without a cane. The current case is a very rare report of bilateral foot drop associated with T12 infectious spondylitis after vertebroplasty. It is essential to keep in mind that lesions of the thoracolumbar junction can cause atypical neurological symptoms. Furthermore, understanding the conus medullaris and nerve root anatomy at the T12–L1 level will be helpful for treating patients with atypical neurological symptoms. |
| format | Article |
| id | doaj-art-1f8391a85da44906a56cdbb4196f00a2 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-1f8391a85da44906a56cdbb4196f00a22025-01-16T04:51:03ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-03-01351566010.20408/jti.2021.00831115Bilateral foot drop caused by T12 infectious spondylitis after vertebroplasty: a case reportDong Hwan Kim0Yong Beom Shin1Mahnjeong Ha2Byung Chul Kim3In Ho Han4Kyoung Hyup Nam5 Department of Neurosurgery, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Department of Rehabilitation Medicine, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Department of Neurosurgery, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Department of Neurosurgery, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Department of Neurosurgery, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea Department of Neurosurgery, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, KoreaThe most common cause of foot drop is lumbar degenerative disc herniation, particularly at L4/5. We present a rare case of spinal cord injury accompanied by a thoracolumbar lesion that presented with bilateral foot drop. A 69-year-old male patient presented with sudden-onset severe bilateral leg pain and bilateral foot drop. Radiologic findings revealed T12 spondylitis compressing the conus medullaris. He had undergone vertebroplasty for a T12 compression fracture after a fall 6 months before. A physical examination showed bilateral foot drop, paresthesia of both L5 dermatomes, increased deep tendon reflex, and a positive Babinski sign. An acute bilateral L5 root lesion and a conus medullaris lesion were suspected based on electromyography. A surgical procedure was done for decompression and reconstruction. After the operation, bilateral lower extremity muscle strength recovered to a good grade from the trace grade, and the patient could walk without a cane. The current case is a very rare report of bilateral foot drop associated with T12 infectious spondylitis after vertebroplasty. It is essential to keep in mind that lesions of the thoracolumbar junction can cause atypical neurological symptoms. Furthermore, understanding the conus medullaris and nerve root anatomy at the T12–L1 level will be helpful for treating patients with atypical neurological symptoms.http://jtraumainj.org/upload/pdf/jti-2021-0083.pdffoot dropcompression fracturesspondylitiselectromyography |
| spellingShingle | Dong Hwan Kim Yong Beom Shin Mahnjeong Ha Byung Chul Kim In Ho Han Kyoung Hyup Nam Bilateral foot drop caused by T12 infectious spondylitis after vertebroplasty: a case report Journal of Trauma and Injury foot drop compression fractures spondylitis electromyography |
| title | Bilateral foot drop caused by T12 infectious spondylitis after vertebroplasty: a case report |
| title_full | Bilateral foot drop caused by T12 infectious spondylitis after vertebroplasty: a case report |
| title_fullStr | Bilateral foot drop caused by T12 infectious spondylitis after vertebroplasty: a case report |
| title_full_unstemmed | Bilateral foot drop caused by T12 infectious spondylitis after vertebroplasty: a case report |
| title_short | Bilateral foot drop caused by T12 infectious spondylitis after vertebroplasty: a case report |
| title_sort | bilateral foot drop caused by t12 infectious spondylitis after vertebroplasty a case report |
| topic | foot drop compression fractures spondylitis electromyography |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0083.pdf |
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