Wasting of calf muscle and spastic foot drop caused by falcine meningioma in 22 -year adult male: revisit of uncommon but important localizing sign

Wasting of muscle is usually a feature of lower motor neuron pathology, astonishingly parasagittal intracranial lesion affecting parietal lobe of cerebral hemisphere may be associated with Wasting of contralateral calf muscle. It can be associated with spastic foot drop. Foot drop is a common neurological state presenting with weakness involving anterior tibialis muscle causing inability of foot extension. Foot drop is commonly caused lower motor neuron disease pathology and a common cause includes L4-L5 radiculopathy or peroneal peripheral neuropathy. However, extremely rarely can be caused by intracranial pathology e.g. falcine meningioma and represents an important localization sign. Authors report an interesting case of calf muscle wasting caused by falcine meningioma, which may escape detection to remind rare but extremely important neurological localizing sign and ask for through and further neurological evaluation prior to concluding a final neurological diagnosis.