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.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2024 Issue 2
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