title: Rapidly progressive foot drop: an uncommon and underappreciated cause of Chiari I malformation and holocord syrinx.
abstract: We describe a case of a 16-year-old boy presented with rapidly progressive right foot drop without any predisposing illness or antecedent events. Nerve conduction study was non-contributory and needle electromyography localised proximal lesion which prompted spine neuroimaging. MRI of whole spine and brain revealed Chiari I malformation along with holocord syringomyelia. The patient underwent suboccipital craniectomy and C1 laminectomy with duroplasty decompressing the foramen magnum. He responded to surgical intervention without further complications.
authors.affiliation: Department of Neurology, Institute of Human Behaviour & Allied Sciences (IHBAS), Delhi, India. drakhilapanda@gmail.com
authors.forename: Akhila Kumar
authors.initials: AK
authors.lastname: Panda
authors.forename: Manmeet
authors.initials: M
authors.lastname: Kaur
mesh_terms: D001139:Arnold-Chiari Malformation / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D020233:Gait Disorders, Neurologic / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013595:Syringomyelia / Q000150:complications* / Q000175:diagnosis; D055815:Young Adult
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