Setty G, Saleem R, Harijan P, Khan A, Hussain N
Department of Paediatric Neurology, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, UK.
J Pediatr Neurosci. 2014 Sep-Dec;9(3):278-9. doi: 10.4103/1817-1745.147594.
Nerve injuries after thoracic and cardiovascular surgery have been reported but generally concern the brachial plexus, phrenic nerve, recurrent laryngeal, and facial nerve. Common peroneal nerve injury (CPNI) following cardiopulmonary bypass has been reported in adults (4); however bilateral injury is extremely uncommon. Age, low body weight, co-morbidities such as peripheral arteriosclerotic disease, diabetes mellitus, and arrhythmias were associated with CPNI following cardiothoracic surgery in adults. Common peroneal nerve injury (CPNI) following cardiopulmonary by-pass has been reported in adults; however, bilateral injury is extremely uncommon. The superficial course of CPN makes it vulnerable to traction or compression. We report a 5-year-old girl manifesting with bilateral CPNI following prolonged cardiopulmonary by-pass. To the best of our knowledge, she is the first pediatric patient presenting with bilateral CPNI following cardiothoracic surgery and cardiopulmonary by-pass.
胸心外科手术后的神经损伤已有报道，但一般涉及臂丛神经、膈神经、喉返神经和面神经。成人体外循环后腓总神经损伤（CPNI）已有报道（4）；然而双侧损伤极为罕见。年龄、低体重、外周动脉硬化疾病、糖尿病和心律失常等合并症与成人心胸外科手术后的CPNI有关。成人体外循环后腓总神经损伤（CPNI）已有报道；然而，双侧损伤极为罕见。腓总神经走行表浅，易受牵拉或压迫。我们报告一名5岁女孩，在长时间体外循环后出现双侧CPNI。据我们所知，她是心胸外科手术和体外循环后首例出现双侧CPNI的儿科患者。
