Annals of Indian Academy of Neurology
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Year : 2008  |  Volume : 11  |  Issue : 4  |  Page : 254-256

Delayed diagnosis of brain tumor in a patient with flexor spasms and spastic foot drop

1 Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Rae Bareli Road, Lucknow, Uttar Pradesh, India
2 Department of Neurology, CSM Medical University, Formerly King George's Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
Rakesh Shukla
Department of Neurology, CSM Medical University, Lucknow
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-2327.44564

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Flexor spasms are involuntary muscle contractions comprising dorsiflexion at the ankle and flexion at the knee and the hip, occurring as a result of nociceptive spinal release reflex. The presence of flexor spasms generally suggests a lesion in the spinal cord. Foot drop is usually seen with lesions of lumbosacral roots, peripheral nerves or muscles. We hereby present a patient with a rare combination of spastic foot drop and flexor spasms due to a brain tumor. The possible underlying pathophysiological mechanisms resulting in flexor spasms due to a cerebral lesion are briefly discussed.

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