Foot Drop In A Young Runner

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Foot Drop In A Young Runner - Page #3

Lab Studies: No laboratory work-up was obtained. Other Studies: MRI of the ankle was obtained by the primary care physician and notable for "sequelae of prior low-grade/remote injury of the anterior talofibular ligament, calcaneofibular ligament, and superficial deltoid ligament". An electromyogram was obtained and notable for "a severe, chronic and active right L5 radiculopathy. Presence of largely mature reinnervation, most mature in proximal muscles, suggests a lesion that is either slow and chronic, or severe and remote, with reinnervation having approached its maximal capacity and with significant denervation persisting." Further imaging, including X-ray and MRI of the lumbar spine, was obtained. X-ray showed no acute compression fracture or deformities of the lumbar spine other than mild degenerative discogenic changes at the L5-S1 level Case Photo #1 . MRI of the lumbar spine was notable for "two intradural extramedullary masses at T12-L1 and L4", with "compression of the conus medullaris by the superior mass resulting in spinal cord edema". Case Photo #2 Case Photo #3 Case Photo #4 Consultations: Neurosurgery was urgently consulted based on the above lumbar spine MRI results. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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