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一名慢性酒精中毒患者出现急性双侧足下垂。

Acute bilateral foot drop in a chronic alcoholic patient.

作者信息

Bahtiyarca Zeynep Tuba, Karaahmet Özgür Zeliha, Panpallı Ateş Mehlika, Kıraç Ünal Zeynep Kıraç, Çakcı Fatma Aytül

机构信息

Department of Physical Medicine and Rehabilitation, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.

Department of Neurology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.

出版信息

Turk J Phys Med Rehabil. 2018 Dec 21;65(1):87-92. doi: 10.5606/tftrd.2019.2244. eCollection 2019 Mar.

Abstract

Peroneal palsy is compression neuropathy of the peroneal nerve, which presents with foot drop. Patients with unilateral peroneal nerve palsy are frequently encountered in clinical practice. Although bilateral peroneal nerve palsy is rare, bilateral foot drop due to peroneal nerve palsy is much less common. The main complaint is often walking difficulty due to weakened ankle dorsiflexor muscles. Medical history and physical examination are always a part of the diagnosis, and the most useful method is electroneuromyography to evaluate the degree of the lesion. In this report, we present a 52-year-old male unconscious patient with chronic alcoholism admitted with acute bilateral foot drop and discuss clinical assessment, diagnosis, and treatment planning of this rare case of peroneal palsy after lying in the prone position in the light of literature data.

摘要

腓总神经麻痹是腓总神经的压迫性神经病变,表现为足下垂。临床上经常会遇到单侧腓总神经麻痹的患者。虽然双侧腓总神经麻痹很少见,但因腓总神经麻痹导致的双侧足下垂则更为罕见。主要症状通常是由于踝背屈肌减弱而导致行走困难。病史和体格检查始终是诊断的一部分,而最有用的方法是肌电图来评估病变程度。在本报告中,我们介绍了一名52岁的慢性酒精中毒男性昏迷患者,因急性双侧足下垂入院,并根据文献资料讨论了该罕见的俯卧位后腓总神经麻痹病例的临床评估、诊断和治疗方案。

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Acute bilateral foot drop in a chronic alcoholic patient.一名慢性酒精中毒患者出现急性双侧足下垂。
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本文引用的文献

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Peroneal Nerve Palsy: Evaluation and Management.腓总神经麻痹:评估与处理
J Am Acad Orthop Surg. 2016 Jan;24(1):1-10. doi: 10.5435/JAAOS-D-14-00420.
4
Bilateral peroneal palsy after weightlifting.举重后双侧腓总神经麻痹。
Clin J Sport Med. 2013 Sep;23(5):400-2. doi: 10.1097/JSM.0b013e31828a6ce5.
5
Entrapment neuropathies of the lower extremity.下肢嵌压性神经病。
PM R. 2013 May;5(5 Suppl):S31-40. doi: 10.1016/j.pmrj.2013.03.029. Epub 2013 Mar 28.
6
Giant cell arteritis and bilateral peroneal nerve palsy.
Scand J Rheumatol. 2010 May;39(3):269-70. doi: 10.3109/03009740903447036.
7
Foot drop: where, why and what to do?足下垂:病因、为何发生及如何应对?
Pract Neurol. 2008 Jun;8(3):158-69. doi: 10.1136/jnnp.2008.149393.
9
Bilateral peroneal nerve palsy following emergent stabilization of a pelvic ring injury.
J Orthop Trauma. 2003 Jan;17(1):67-70. doi: 10.1097/00005131-200301000-00012.

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