误诊为L5神经根病的腓总神经病变：一例报告
Peroneal neuropathy misdiagnosed as L5 radiculopathy: a case report.
作者信息
Reife Michael D, Coulis Christopher M
机构信息
Private Practice, 8 Independence Drive, Marlborough, CT 06447, USA.
出版信息
Chiropr Man Therap. 2013 Apr 22;21(1):12. doi: 10.1186/2045-709X-21-12.
Abstract
OBJECTIVE
The purpose of this case report is to describe a patient who presented with a case of peroneal neuropathy that was originally diagnosed and treated as a L5 radiculopathy.
CLINICAL FEATURES
A 53-year old female registered nurse presented to a private chiropractic practice with complaints of left lateral leg pain. Three months earlier she underwent elective left L5 decompression surgery without relief of symptoms.
INTERVENTION AND OUTCOME
Lumbar spine MRI seven months prior to lumbar decompression surgery revealed left neural foraminal stenosis at L5-S1. The patient symptoms resolved after she stopped crossing her legs.
CONCLUSION
This report discusses a case of undiagnosed peroneal neuropathy that underwent lumbar decompression surgery for a L5 radiculopathy. This case study demonstrates the importance of a thorough clinical examination and decision making that ensures proper patient diagnosis and management.
摘要
目的
本病例报告旨在描述一名最初被诊断为L5神经根病并接受相应治疗的腓总神经病变患者。
临床特征
一名53岁的女性注册护士因左侧小腿外侧疼痛就诊于一家私人脊椎按摩诊所。三个月前，她接受了选择性左侧L5减压手术，但症状并未缓解。
干预措施及结果
腰椎减压手术前七个月的腰椎MRI显示L5-S1左侧神经孔狭窄。患者停止交叉双腿后症状缓解。
结论
本报告讨论了一例因L5神经根病接受腰椎减压手术的未被诊断出的腓总神经病变病例。本病例研究证明了全面临床检查和决策的重要性，这可确保对患者进行正确的诊断和管理。
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本文引用的文献
1
Electrodiagnostic evaluation of lower extremity mononeuropathies.下肢单神经病的电诊断评估。
Neurol Clin. 2012 May;30(2):505-28. doi: 10.1016/j.ncl.2011.12.004.
2
MR imaging of entrapment neuropathies of the lower extremity. Part 2. The knee, leg, ankle, and foot.下肢卡压性神经病的 MRI 成像。第 2 部分。膝关节、小腿、踝部和足部。
Radiographics. 2010 Jul-Aug;30(4):1001-19. doi: 10.1148/rg.304095188.
3
Compression neuropathy of the peroneal nerve secondary to a ganglion cyst.腱鞘囊肿继发腓总神经压迫性神经病
Can J Plast Surg. 2008 Fall;16(3):181-3. doi: 10.1177/229255030801600307.
4
A case of isolated giant plexiform neurofibroma involving all branches of the common peroneal nerve.一例累及腓总神经所有分支的孤立性巨大丛状神经纤维瘤。
Arch Orthop Trauma Surg. 2007 Oct;127(8):709-12. doi: 10.1007/s00402-007-0303-1. Epub 2007 Mar 22.
5
[Schwannoma of the deep peroneal nerve. An unusual presentation in rheumatology].[腓深神经神经鞘瘤。风湿病学中的一种罕见表现]
Praxis (Bern 1994). 2007 Jan 17;96(3):69-72. doi: 10.1024/1661-8157.96.3.69.
6
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Eur J Paediatr Neurol. 2007 Jan;11(1):50-4. doi: 10.1016/j.ejpn.2006.10.008. Epub 2006 Dec 12.
7
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8
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9
Superficial peroneal nerve syndrome: an unusual nerve entrapment. Case report.腓浅神经综合征：一种罕见的神经卡压。病例报告。
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10
Bilateral peroneal nerve palsy caused by intermittent pneumatic compression.间歇性气压压迫导致双侧腓总神经麻痹。
Intern Med. 2006;45(2):93-4. doi: 10.2169/internalmedicine.45.1459. Epub 2006 Feb 15.
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