Foot Drop: Looking Beyond Common Peroneal Nerve Palsy – A Neurophysiology Centre Experience

Hdl Handle:
http://hdl.handle.net/10147/620584
Title:
Foot Drop: Looking Beyond Common Peroneal Nerve Palsy – A Neurophysiology Centre Experience
Authors:
Yap, SM; McNamara, B
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Apr-2016
URI:
http://hdl.handle.net/10147/620584
Abstract:
Foot drop is a complex symptom with a considerable range in aetiology, severity and prognosis. We aim to characterise the aetiologies of foot drop and assess the diagnostic contribution of neurophysiologic testing (NCS/EMG). Retrospective review of consecutive referrals of foot drop to the Neurophysiology Department in Cork University Hospital was performed over a two year period (January 2012 to December 2013). Of a total of 59 referrals, common peroneal nerve (CPN) palsy comprised only slightly more than half of cases; 3(5%) have central origin; 3(5%) have motor neuron disease. Six (10%) have diabetes; 7(12%) have cancer; 5(8%) were bilateral. NCS/EMG altered initial working diagnosis in 14 out of 52 (27%) cases whereby initial diagnosis was provided. However one-third of all cases revealed additional coexistent pathology in an anatomic location remote to that of the primary diagnosis. Foot drop with central and proximal localisations are important and under recognised. NCS/EMG is valuable and also reveals additional pathology which warrants investigation
Item Type:
Article
Language:
en
Local subject classification:
MOTOR NEURON DISEASE; FOOT DROP

Full metadata record

DC FieldValue Language
dc.contributor.authorYap, SMen
dc.contributor.authorMcNamara, Ben
dc.date.accessioned2016-09-21T10:53:35Z-
dc.date.available2016-09-21T10:53:35Z-
dc.date.issued2016-04-
dc.identifier.urihttp://hdl.handle.net/10147/620584-
dc.description.abstractFoot drop is a complex symptom with a considerable range in aetiology, severity and prognosis. We aim to characterise the aetiologies of foot drop and assess the diagnostic contribution of neurophysiologic testing (NCS/EMG). Retrospective review of consecutive referrals of foot drop to the Neurophysiology Department in Cork University Hospital was performed over a two year period (January 2012 to December 2013). Of a total of 59 referrals, common peroneal nerve (CPN) palsy comprised only slightly more than half of cases; 3(5%) have central origin; 3(5%) have motor neuron disease. Six (10%) have diabetes; 7(12%) have cancer; 5(8%) were bilateral. NCS/EMG altered initial working diagnosis in 14 out of 52 (27%) cases whereby initial diagnosis was provided. However one-third of all cases revealed additional coexistent pathology in an anatomic location remote to that of the primary diagnosis. Foot drop with central and proximal localisations are important and under recognised. NCS/EMG is valuable and also reveals additional pathology which warrants investigationen
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subject.otherMOTOR NEURON DISEASEen
dc.subject.otherFOOT DROPen
dc.titleFoot Drop: Looking Beyond Common Peroneal Nerve Palsy – A Neurophysiology Centre Experienceen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceMunsteren
dc.description.peer-reviewpeer-reviewen
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