Yi Hyeong Joong, Oh Seong Hoon, Hong Hyun Jong, Lee Kyu Seok
Department of Neurosurgery, Hanyang University Medical Center, Seoul, South Korea.
Surg Neurol. 2004 Apr;61(4):379-83; discussion 383. doi: 10.1016/S0090-3019(03)00452-X.
Common peroneal nerve palsy is a well-recognized complication following orthopedic procedure in and around the knee region. In neurosurgical practice, however, this kind of injury with regard to the patients' position is seldom reported.
We describe an immediately developed common peroneal nerve palsy in a 53-year-old slender man who underwent anterior cervical operative procedure. He suffered incomplete common peroneal nerve injury for about 8 months and during this period, he underwent 2 electromyographic examinations suggesting demyelinating injury. He received conservative treatment including physiotherapy and rigid foot orthosis and finally made a favorable but incomplete recovery.
We propose that such palsy may result from immobilization in a certain position instead of direct compression or traction of the corresponding nerve, although this is not proven. In this report, we suggest the possible risk factors, preventive measures, therapeutic options, and relevant outcome of this unwanted result.
腓总神经麻痹是膝关节及其周围骨科手术后一种广为人知的并发症。然而,在神经外科实践中,很少有关于患者体位导致这种损伤的报道。
我们描述了一名53岁瘦长男性在接受颈椎前路手术时立即出现腓总神经麻痹的情况。他遭受了约8个月的腓总神经不完全损伤,在此期间,他接受了2次肌电图检查,提示为脱髓鞘损伤。他接受了包括物理治疗和刚性足矫形器在内的保守治疗,最终恢复良好但仍不完全。
我们提出,这种麻痹可能是由于固定在特定体位而非相应神经的直接压迫或牵拉所致,尽管这尚未得到证实。在本报告中,我们指出了这一不良结果可能的危险因素、预防措施、治疗选择及相关预后情况。