Goia Edit, Hamilton Leslie, Chan Jennifer, Wei Xing-Chang, Mah Jean K, Rho Jong M
Section of Neurology, Alberta Children's Hospital, Departments of Pediatrics and Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Department of Pathology and Laboratory Medicine, University of Calgary, Calgary, Alberta, Canada.
J Child Neurol. 2014 Jul;29(7):955-8. doi: 10.1177/0883073813479172. Epub 2013 Mar 1.
Foot drop is commonly caused by compromise of the peripheral nervous system. Unilateral foot drop as the first sign of a parasagittal brain tumor has been reported in the adult literature but never previously in the pediatric population. We report a child with a right parietal rhabdomyosarcoma in which foot drop was the only abnormal neurologic finding at initial presentation. Localization to the central nervous system should be included in children presenting with foot drop.
足下垂通常由周围神经系统受损引起。成人文献中曾报道过单侧足下垂作为矢状旁脑肿瘤的首发症状,但此前在儿科人群中从未有过报道。我们报告了一名患有右顶叶横纹肌肉瘤的儿童,其在初次就诊时唯一的异常神经学表现就是足下垂。对于出现足下垂的儿童,应考虑中枢神经系统受累的可能性。