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A rare initial presenting of epicone syndrome – a case report


Authors: Dobiáš J.;  Říha M.
Authors‘ workplace: Oddělení rehabilitační a fyzikální medicíny, Ústřední vojenská nemocnice – Vojenská fakultní nemocnice Praha
Published in: Rehabil. fyz. Lék., 31, 2024, No. 2, pp. 75-78.
Category: Case Report
doi: https://doi.org/10.48095/ccrhfl 202475

Overview

Summary: The epiconus syndrome is a rare disorder presenting with symptoms of motor deficit and sensory disturbance in the leg as well as bladder, bowel and erectile dysfunction. In this case report, we present a patient with isolated unilateral weakening in ankle pronation as a rare initial manifestation of epiconus syndrome. This case corresponds to epiconus syndrome presenting with radicular-type features previously published in literature; however, with the absence of other neurological symptoms. Progressive motor weakness as well as muscular atrophy of the lower leg were dominant symptoms in further development as well as in previous epiconus syndrome studies.

Keywords:

epiconus – peroneal muscle – peroneal nerve palsy – muscular atrophy


Sources

1. Ambler Z. Základy neurologie 7. vyd. Praha: Galén 2011: 81–87, 278–281. ISBN 978-80-72 62-707-3.

2. Nevšímalová S, Růžička E, Tichý J et al. Neurologie. Praha: Galén 2005: 49–54. ISBN 80-7262-160-2.

3. Asada T, Koda M, Funayama T et al. Imaging-based diagnosis of epiconus syndrome from the distance of the lesion to where the spinal cord terminates not from the disc level: a case series. Cureus 2021; 13 (9): e17708. doi: 10.7759/cureus. 17708.

4. Toribatake Y, Baba H, Kawahara N et al. The epiconus syndrome presenting with radicular-type neurological features. Spinal Cord 1997; 35 (3): 163–170. doi: 10.1038/sj.sc.3100369.

5. Willems J, Chappel R. The epiconus syndrome presenting radicular-type neurological features. Spinal Cord 1997; 35 (10): 709–710. doi: 10.1038/sj.sc.3100511.

Doručeno/Submitted: 22. 10. 2023
Přijato/Accepted: 15. 2. 2024
Korespondenční autor:
MUDr. Jan Dobiáš
Oddělení rehabilitační a fyzikální medicíny
Ústřední vojenská nemocnice – Vojenská fakultní nemocnice Praha
U Vojenské nemocnice 1200
169 02 Praha 6
e-mail: dobias.jan@uvn.cz
Labels
Physiotherapist, university degree Rehabilitation Sports medicine
Topics Journals
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