APPLIED RADIOLOGICAL ANATOMY

ANATOMY

NEURORADIOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 65-year-old patient diagnosed with left hemiparesis was able to walk but the condition of the patient’s gait was not good, namely stap page gait and lower extremity pattern leaning towards the extensors, experiencing sensory disturbances, and the patient had foot drop. Which nerve is affected in this patient?
A
Radial Nerve Lesion
B
Ulnar Nerve Lesion
C
Median nerve lesion
D
Lesi Nervus Peroneus
E
Popliteal nerve lesion
Explanation: 

Detailed explanation-1: -In addition to the metabolic disorders listed above, the differential diagnosis of spontaneous foot drop includes spasticity, dystonia, motor neuron disease, L5 radiculopathy, lumbosacral plexopathy, sciatic nerve palsy, compressive peroneal neuropathy, peripheral neuropathy, and some myopathies.

Detailed explanation-2: -The most common cause of foot drop is peroneal nerve injury. The peroneal nerve is a branch of the sciatic nerve. It supplies movement and sensation to the lower leg, foot, and toes. Conditions that affect the nerves and muscles in the body can lead to foot drop.

Detailed explanation-3: -Because the primary function of the tibialis anterior is dorsiflexion, paralysis of this muscle results in “foot drop, ‘’ or an inability to dorsiflex, this paralysis can be caused by nerve injury, like direct damage to the deep peroneal nerve, or a muscle disorder, like ALS.

Detailed explanation-4: -The most common cause of foot drop is compression of a nerve in the leg that controls the muscles involved in lifting the foot. This nerve is called the peroneal nerve. A serious knee injury can lead to the nerve being compressed. It can also be injured during hip or knee replacement surgery, which may cause foot drop.

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