Jeon Sungsoo, Kim Da-Ye, Shim Dong Jae, Kim Min-Wook
Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
Department of Radiology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
Ann Rehabil Med. 2017 Aug;41(4):715-719. doi: 10.5535/arm.2017.41.4.715. Epub 2017 Aug 31.
Peroneal neuropathy is a common mononeuropathy of the lower limb. Some studies have reported cases of peroneal neuropathy after vascular surgery or intervention. However, no cases of peroneal neuropathy with occlusion of a single peripheral artery have been previously reported. A 73-year-old man was referred with a 3-week history of left-sided foot drop. He had a history of valvular heart disease and arrhythmia, and had previously been treated with percutaneous coronary intervention. Computed tomography angiogram of the lower extremity showed proximal occlusion of the left anterior tibial artery. An electrodiagnostic study confirmed left common peroneal neuropathy. After diagnosis, anticoagulation therapy was started and he received physical therapy.
腓总神经病变是一种常见的下肢单神经病变。一些研究报告了血管手术或介入后出现腓总神经病变的病例。然而，此前尚无单一外周动脉闭塞导致腓总神经病变的病例报告。一名73岁男性因左侧足下垂3周前来就诊。他有瓣膜性心脏病和心律失常病史，此前接受过经皮冠状动脉介入治疗。下肢计算机断层血管造影显示左胫前动脉近端闭塞。电诊断研究证实为左侧腓总神经病变。诊断后开始抗凝治疗，并接受了物理治疗。
