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Updated: Dec 10, 2025

Evaluating the Function of the Foot Core System in the Elderly
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Cortical foot.

Robin Fox1, Laszlo Sztriha2

  • 1Neurology Department, King's College Hospital NHS Foundation Trust, London, UK robinfox@doctors.org.uk.

Practical Neurology
|August 30, 2020
PubMed
Summary
This summary is machine-generated.

A rare cortical stroke caused acute foot drop in an elderly woman. This finding is similar to the known

Keywords:
Stroke

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Area of Science:

  • Neurology
  • Neuroscience
  • Medical Imaging

Background:

  • Foot drop typically suggests peripheral nervous system damage.
  • Cortical strokes usually manifest with different motor deficits.

Purpose of the Study:

  • To report a rare case of acute foot drop caused by a cortical stroke.
  • To highlight the diagnostic considerations for foot drop.

Main Methods:

  • Clinical presentation assessment.
  • Magnetic Resonance (MR) imaging of the brain.

Main Results:

  • An 83-year-old woman presented with sudden onset foot drop.
  • Brain MR scan revealed a small cortical stroke as the cause.
  • The presentation mimicked peripheral neuropathy but was central.

Conclusions:

  • Cortical strokes can rarely present as isolated foot drop.
  • This case expands the understanding of stroke presentations.
  • It underscores the importance of neuroimaging in diagnosing foot drop.