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腘静脉动脉瘤修复术后隐神经单神经病

Saphenous mononeuropathy after popliteal vein aneurysm repair.

作者信息

Shenoy Anant M, Wiesman Janice

机构信息

Department of Neurology, Boston University School of Medicine, Boston, Massachusetts 02118, USA.

出版信息

Neurologist. 2010 Jan;16(1):47-9. doi: 10.1097/NRL.0b013e31819f9588.

Abstract

INTRODUCTION

Saphenous mononeuropathy has been a well recognized consequence of lower extremity surgery. However, this complication has not been previously described with popliteal vein aneurysm repair.

CASE PRESENTATION

We report the case of a 42-year-old woman with a saphenous mononeuropathy after popliteal vein aneurysm repair. Her saphenous neuropathy was confirmed by nerve conduction studies. Her case gives us an opportunity to review saphenous mononeuropathy and its many different etiologies. We also review the role of electrodiagnostic studies in the diagnosis of saphenous mononeuropathy.

CONCLUSIONS

Though this particular iatrogenic injury has not previously been described, both neurologists and surgeons should be aware of this complication following popliteal vein aneurysm resection with saphenous vein interposition.

摘要

引言

隐神经单神经病一直是下肢手术公认的后果。然而,此前并未有关于腘静脉瘤修复术后出现这种并发症的描述。

病例报告

我们报告一例42岁女性在腘静脉瘤修复术后发生隐神经单神经病的病例。通过神经传导研究证实了她的隐神经病变。她的病例让我们有机会回顾隐神经单神经病及其多种不同病因。我们还回顾了电诊断研究在隐神经单神经病诊断中的作用。

结论

尽管此前尚未描述过这种特定的医源性损伤,但神经科医生和外科医生都应意识到在腘静脉瘤切除并用大隐静脉移植术后可能出现这种并发症。

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