medicina60巻10号

2023年09月発行

特集 ミミッカー症例からいかに学ぶか 各論：思い出のミミッカー症例

起床時に発症した下垂足といえば!?

著者： 原田拓¹

所属機関： ¹練馬光が丘病院総合救急診療科総合診療部門

ページ範囲：P.1673 - P.1675

暫定診断が想起されるまで
症例　76歳男性
主訴　右足が上がらない

参考文献

1）Subhadra L, et al：Foot Drop. In：StatPearls［Interent］. StatPearls Publishing, Florida, 2023

2）Kim JY, et al：Isolated painless foot drop due to cerebral infarction mimicking lumbar radiculopathy；A case report. Korean J Spine 12：210-212, 2015

3）Riarte FI, et al：Acute foot drop syndrome mimicking peroneal nerve injury；An atypical presentation of ischemic stroke. J Stroke Cerebrovasc Dis 23：1229-1231, 2014

4）Harold A, et al：Anterior cerebral artery stroke. In：StatPearls［Interent］. StatPearls Publishing, Florida, 2023

5）Kang SY, Kim JS：Anterior cerebral artery infarction；Stroke mechanism and clinical-imaging study in 100 patients. Neurology 70：2386-2393, 2008

6）Wallace EJC, et al：Diagnostic challenges in outpatient stroke；Stroke chameleons and atypical stroke syndromes. Neuropsychiatr Dis Treat 17：1469-1480, 2021

7）Liberman AL, et al：Stroke chameleons and stroke mimics in the emergency department. Curr Neurol Neurosci Rep 17：15, 2017

8）Liberman AL, et al：Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. Diagnosis（Berl）7：37-43, 2020

9）Richoz B, et al：Acute stroke chameleons in a university hospital；Risk factors, circumstances, and outcomes. Neurology 85：505-511, 2015

10）Huang GC, et al：Implementation of diagnostic pauses in the ambulatory setting. BMJ Qual Saf 27：492-497, 2018