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Resident corner - Neurologist-in-training

Ansgar Felbecker, Markus Tolnay & Barbara Tettenborn

abstract Case vignette
A 29-year-old woman presented with subacute onset of
pain in her proximal right leg that sometimes radiated to the
lateral part of the foot. Additionally, she realised a foot drop
on the right side and a few days later on the left side as well.
Light touch sensitivity was reduced at the dorsum of the
right foot. In addition, neurological examination revealed a
reduced sensitivity at the dorsum and sole of the contralateral
left foot. Ankle reflex was normal on the right sight
and missing on the left. No other focal neurological signs
were detected, the patient felt healthy and had no fever.
Personal history was remarkable regarding a similar but less
severe episode of pain and foot drop on the right side almost
exactly one year previously. These symptoms had resolved
without specific treatment after approximately 6 weeks
apart from persistent numbness of the dorsum of the right
foot.
   
keywords mononeuritis multiplex; vasculitis
   
citation Felbecker A, Tolnay M, Tettenborn B. Resident corner - Neurologist-in-training. Schweizerisches Archiv für Neurologie und Psychiatrie 2012; 163:197-198.
   
type journal paper/review (English)
date of publishing 15-5-2012
journal title Schweizerisches Archiv für Neurologie und Psychiatrie (163/5)
publisher EMH Swiss Medical Publishers Ltd. (Muttenz)
pages 197-198
contact Ansgar Felbecker