26th August 2024

A 46-year-old writer presents to clinic as he has noted recently persistently catching his foot and tripping

A 46-year-old writer presents to clinic as he has noted recently persistently catching his foot and tripping. He has been referred to the neurology clinic as he has read that this can be a sign of motor neurone disease and is very concerned. On examination, he has weakness of dorsiflexion of the foot and toes. You also note weakness of eversion of the foot, but inversion is preserved. Power examination is otherwise normal. Reflexes and tone are normal. You can identify no fasciculations or muscle wasting. Sensory exam is normal apart from numbness over the lateral aspect of the distal leg. The rest of the neurological exam is normal.

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