Parasagittal Meningioma Mimicking Peroneal Neuropathy: A Case Report From Kurdistan, Iraq

This case report describes a rare presentation of isolated right foot drop due to a left parasagittal meningioma compressing the motor cortex. A 69-year-old man experienced progressive motor deficits without accompanying sensory loss or typical upper motor neuron (UMN) signs, leading to an initial misdiagnosis of peripheral neuropathy. Brain MRI revealed a left parasagittal extra-axial lesion consistent with a meningioma. Surgical resection confirmed a meningothelial meningioma, and the patient showed significant motor improvement postoperatively. This case emphasizes the importance of considering central causes in atypical presentations of foot drop and advocates for early neuroimaging to avoid diagnostic delays.