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Use of a Foot-Induced Digitally Controlled Resistance Device for Functional Magnetic Resonance Imaging Evaluation in Patients with Foot Paresis

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Evaluating Acute Bilateral Foot Drop: A Case Report.

Arsh N Patel¹, Colby Kihara¹, Carter Gay¹

¹Department of Research, Alabama College of Osteopathic Medicine, Dothan, USA.

|January 25, 2023

Summary

This summary is machine-generated.

This case report details an 84-year-old woman with acute bilateral foot drop, potentially caused by spinal cord compression. Further research is needed to define treatment for this rare condition.

Keywords:

bilateral foot drop common peroneal neuropathy drop foot foot drop neuropathy pes cavus deformity spinal cord compression spinal cord compression weakness

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Last Updated: Aug 12, 2025

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Area of Science:

Neurology
Vascular Medicine
Spinal Surgery

Background:

Bilateral foot drop typically presents chronically due to various etiologies.
Acute onset bilateral foot drop is rare and poorly understood in medical literature.

Observation:

An 84-year-old female presented with acute bilateral foot drop and pes cavus deformity.
The patient also experienced lower extremity weakness, ambulation difficulties, and a deep venous thrombosis.

Findings:

The patient's symptoms are hypothesized to stem from spinal cord compression at the T12-L1 level, causing L5 nerve root compression.
This presentation is unusual given the acute onset of bilateral foot drop.

Implications:

This case adds to the limited literature on acute bilateral foot drop.
Further investigation into the underlying causes and treatment strategies for acute bilateral foot drop is warranted.
Evaluating surgical versus conservative management is crucial for restoring ambulatory function.