{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:37:10Z","timestamp":1745469430827,"version":"3.40.4"},"reference-count":1,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur Neurol"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>&lt;i&gt;Objective:&lt;\/i&gt; Intermittent spontaneous recurrent foot movement characterized by sudden ankle dorsiflexion followed by slower relaxation, termed foot-dipping (FD), may occur in coma. The clinical significance of this easily overlooked sign is unknown. &lt;i&gt;Methods:&lt;\/i&gt; Twenty-three cases were identified by a single observer over a 10-year period of predominant inpatient neurologic care. Details of neurologic examination, clinical outcome, and CT and\/or MRI findings were collected and analyzed. &lt;i&gt;Results:&lt;\/i&gt; All 23 patients presented with either an acute supratentorial vascular lesion accompanied by a midline brain shift (Group I, 12 cases) or a primary brainstem or cerebellar insult (Group II, 11 cases). FD in Group I patients was observed transiently only during evolving transtentorial herniation manifested by coma and partial brainstem areflexia. &lt;i&gt;Conclusion:&lt;\/i&gt; The onset of FD in patients with acute supratentorial vascular lesion is indicative of a transtentorial herniation with secondary brainstem encroachment.<\/jats:p>","DOI":"10.1159\/000317009","type":"journal-article","created":{"date-parts":[[2010,7,27]],"date-time":"2010-07-27T07:25:18Z","timestamp":1280215518000},"page":"145-147","source":"Crossref","is-referenced-by-count":1,"title":["Foot-Dipping in Coma: A Physical Sign Indicative of Evolving Herniation"],"prefix":"10.1159","volume":"64","author":[{"given":"Gregory Youngnam","family":"Chang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2010,7,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002%2Fmds.870070408"}],"container-title":["European Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/317009","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/317009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T19:22:38Z","timestamp":1745436158000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000317009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":1,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2010,9,1]]},"published-print":{"date-parts":[[2010,9,2]]}},"URL":"https:\/\/doi.org\/10.1159\/000317009","archive":["Portico"],"relation":{},"ISSN":["0014-3022","1421-9913"],"issn-type":[{"type":"print","value":"0014-3022"},{"type":"electronic","value":"1421-9913"}],"subject":[],"published":{"date-parts":[[2010]]}}}