FOOTPRINT SIGN IN BRAIN: REVISITED

Abstract

We would like to share an interesting case of a 53 year old female, who presented with history of seizures, multiple episodes of vomiting and altered sensorium. On neurological examination, her Glasgow coma scale was E3V3M6 and pupils were normal. Her biochemical parameters were normal. Immediate computed tomography scan of brain was taken and it showed a well-defined hypodense lesion in left parietal region with perilesional edema and significant mass effect, suggestive of intracranial space occupying lesion, most probably high grade glioma. MRI brain with contrast was suggestive of well-defined hypo to hyperintense lesion in left parietal region, masquerading a human footprint with mass effect. Condition of the patient was explained and surgery was advised but patient’s relatives were not willing for any surgical intervention, hence patient was discharged against medical advice in a stable condition.