Advertisement

Neurological Sciences

, Volume 39, Issue 7, pp 1297–1298 | Cite as

Isolated iliopsoas paresis due to traumatic cortical hemorrhage

  • Akiyuki Hiraga
  • Reiji Aoki
  • Marie Morooka
  • Hiroki Kano
  • Satoshi Kuwabara
Letter to the Editor

Dear Editors,

Muscle weakness involving only one or two muscles is typically considered to be peripheral in origin. Although numerous previous studies showed that central lesions, particularly those associated with cortical ischemic stroke, can present as pure motor monoparesis of the leg [1], isolated proximal leg weakness due to central lesions has been rarely reported and can easily be misdiagnosed. We present the case of a patient with acute unilateral isolated iliopsoas paresis due to a contralateral small traumatic cerebral hemorrhage.

Case report

A 78-year-old woman suffering from disrupted right hip flexion after stumbling into a street gutter, falling, and hitting the back of her head on the road was referred to the emergency room of Chiba Rosai Hospital. She had a 24-year history of Parkinson’s disease without dementia. She had levodopa-related wearing-off and she could walk using a cane and could perform basic activities of daily living independently during her on-period....

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

References

  1. 1.
    Hiraga A (2011) Pure motor monoparesis due to ischemic stroke. Neurologist 17:301–318CrossRefPubMedGoogle Scholar
  2. 2.
    Ku BD, Lee EJ, Kim H (2007) Cerebral infarction producing sudden isolated foot drop. J Clin Neurol 3:67–69CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Noda K, Tani M, Fukae J, Fujishima K, Hattori N, Okuma Y (2010) Isolated proximal leg paresis due to a small cortical infarction. Intern Med 49:1633–1636CrossRefPubMedGoogle Scholar
  4. 4.
    Schieber MH (2001) Constraints on somatotopic organization in the primary motor cortex. J Neurophysiol 86:2125–2143CrossRefPubMedGoogle Scholar
  5. 5.
    Spengos K, Anagnostou E, Vassilopoulou S (2012) Subacute proximal leg weakness after a minor traffic accident in a patient treated with anticoagulants. BMJ Case RepGoogle Scholar

Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurologyChiba Rosai HospitalIchiharaJapan
  2. 2.Department of Neurology, Graduate School of MedicineChiba UniversityChibaJapan

Personalised recommendations