title: Statin-induced bilateral foot drop in a case of hypothyroidism.
abstract: Muscle involvement is a common manifestation of both clinical and subclinical hypothyroidism, with serum creatine kinase (CK) elevation being probably the most common manifestation, and is seen in up to 90% of patients, but is usually mild (less than 10 times the upper limit of normal). Rhabdomyolysis is a distinctively uncommon presentation of hypothyroidism described usually in the setting of precipitating events such as strenuous exercise, alcohol, or statin use. Rarely rhabdomyolysis and myoedema seen in hypothyroidism can be complicated by the development of anterior compartment syndrome leading to neurovascular compression. We describe a case of a patient with hypothyroidism who developed acute onset bilateral foot drop on initiation of statins. This case highlights the need for cautious use of statins in patients at risk for rhabdomyolysis.
authors.affiliation: Department of Neurology, Govind Ballabh Pant Hospital, New Delhi, India.
authors.forename: Neera
authors.initials: N
authors.lastname: Chaudhary
authors.affiliation: Department of Neurology, Govind Ballabh Pant Hospital, New Delhi, India.
authors.forename: Ashish Kumar
authors.initials: AK
authors.lastname: Duggal
authors.affiliation: Department of Neurology, Govind Ballabh Pant Hospital, New Delhi, India.
authors.forename: Prashant
authors.initials: P
authors.lastname: Makhija
authors.affiliation: Department of Neurology, Govind Ballabh Pant Hospital, New Delhi, India.
authors.forename: Vinod
authors.initials: V
authors.lastname: Puri
authors.affiliation: Department of Neurology, Govind Ballabh Pant Hospital, New Delhi, India.
authors.forename: Geeta Anjum
authors.initials: GA
authors.lastname: Khwaja
keywords: Anterior tibial compartment syndrome; foot drop; statins