Toğrol E
Department of Neurology, Gülhane Military Medical Academy, Haydarpaşa Training Hospital, Istanbul, Turkey.
Mil Med. 2000 Mar;165(3):240-2.
External or internal pressures on peripheral nerves may result in compression neuropathies. Although compressive common peroneal nerve palsy is well known, to date very few cases with bilateral palsies have been reported. The clinical and electrophysiological manifestations of three patients with bilateral peroneal nerve palsies are reported, and their clinical outcomes are discussed. The first patient's transient bilateral palsy was corrected by conservative means. The second patient, with a more severe axonal lesion, did not improve within 3 months, and nearly complete recovery occurred after operative decompression. For the third patient, who had been suffering for a long time, no improvement could be hoped for. Prolonged squatting was the etiological factor in all three cases. Bilateral compression neuropathies of the peroneal nerve, like unilateral lesions, may recover spontaneously. Surgical intervention is recommended for patients with predominantly axonal lesions and for those who do not improve within 3 months.
外周神经受到的外部或内部压力可能导致压迫性神经病变。虽然压迫性腓总神经麻痹广为人知，但迄今为止，双侧麻痹的病例报道极少。本文报告了3例双侧腓总神经麻痹患者的临床和电生理表现，并讨论了其临床结局。首例患者的短暂双侧麻痹通过保守方法得以纠正。第二例患者轴索损伤更严重，3个月内未改善，手术减压后几乎完全恢复。第三例患者病程较长，已无改善希望。长时间蹲位是所有3例患者的病因。双侧腓总神经压迫性神经病变与单侧病变一样，可能会自发恢复。对于以轴索损伤为主的患者以及3个月内未改善的患者，建议进行手术干预。
