| Foot-dipping in coma: a physical sign indicative of evolving herniation. | |
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MedLine Citation:
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PMID: 20664269 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Intermittent spontaneous recurrent foot movement characterized by sudden ankle dorsiflexion followed by slower relaxation, termed foot-dipping (FD), may occur in coma. The clinical significance of this easily overlooked sign is unknown. METHODS: Twenty-three cases were identified by a single observer over a 10-year period of predominant inpatient neurologic care. Details of neurologic examination, clinical outcome, and CT and/or MRI findings were collected and analyzed. RESULTS: All 23 patients presented with either an acute supratentorial vascular lesion accompanied by a midline brain shift (Group I, 12 cases) or a primary brainstem or cerebellar insult (Group II, 11 cases). FD in Group I patients was observed transiently only during evolving transtentorial herniation manifested by coma and partial brainstem areflexia. CONCLUSION: The onset of FD in patients with acute supratentorial vascular lesion is indicative of a transtentorial herniation with secondary brainstem encroachment. |
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Authors:
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Gregory Youngnam Chang |
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Publication Detail:
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Type: Journal Article Date: 2010-07-27 |
Journal Detail:
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Title: European neurology Volume: 64 ISSN: 1421-9913 ISO Abbreviation: Eur. Neurol. Publication Date: 2010 |
Date Detail:
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Created Date: 2010-09-03 Completed Date: 2010-12-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0150760 Medline TA: Eur Neurol Country: Switzerland |
Other Details:
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Languages: eng Pagination: 145-7 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2010 S. Karger AG, Basel. |
Affiliation:
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Department of Neurology, University of California at Irvine Medical Center, Orange, Calif., USA. gychang00@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Coma / complications*, pathology Databases, Factual / statistics & numerical data Female Foot / physiopathology* Hernia / etiology* Humans Magnetic Resonance Imaging / methods Male Middle Aged Movement Disorders / complications* Neurologic Examination / methods Tomography, X-Ray Computed / methods Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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