title: Cerebral contusion as a rare cause of foot drop: case report.
abstract: A 74-year-old woman, taking anticoagulant therapy for chronic heart failure,     presented to our emergency room with left dorsiflexion weakness 8 hours from     after multitrauma. A detailed neurological examination revealed only 0/5     strength in the left foot dorsiflexion without any upper motor neuron signs.     While there was no spinal cord pathology detected, cranial computed tomography     demonstrated a lesion in the right parasagittal localization consistent with     hemorrhagic contusion. Clinical follow-ups showed an improvement in neurological     findings with muscle power of 3/5 in day 5 and 5/5 in day 45 of admission. The     parasagittal region has a foot localization in the homonculus and lesions in     this area can rarely present with the foot drop sign. Thus, parasagittal region     lesions should always be kept in mind in foot drop cases.
authors.affiliation: M.H. Haseki Educational and Research Hospital, Department of Neurosurgery, Istanbul, Turkey. nurgulbalcioktem@gmail.com
authors.forename: Nurgül Balci
authors.initials: NB
authors.lastname: Oktem
authors.forename: Rabia
authors.initials: R
authors.lastname: Tari
authors.forename: Kadir
authors.initials: K
authors.lastname: Kotil
authors.forename: Turgay
authors.initials: T
authors.lastname: Bilge
mesh_terms: D000063:Accidents, Traffic; D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D020201:Brain Hemorrhage, Traumatic / Q000150:complications*; D001930:Brain Injuries / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005528:Foot; D006801:Humans; D019934:International Normalized Ratio; D008279:Magnetic Resonance Imaging; D018908:Muscle Weakness / Q000175:diagnosis / Q000209:etiology*; D009460:Neurologic Examination; D014057:Tomography, X-Ray Computed; D014914:Whole Blood Coagulation Time
chemical_list: D000925:Anticoagulants