Department of Physical & Rehabilitation Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2023 Jul 24;38(29):e233. doi: 10.3346/jkms.2023.38.e233.
We report the case of a 27-year-old survivor of the Halloween crowd crush in Itaewon, Seoul, Korea who was diagnosed with left sciatic neuropathy and right common peroneal neuropathy accompanied by multifocal rhabdomyolysis. The patient presented to the emergency room complaining of pain from her lower back to her whole lower extremities with paraparesis and paresthesia. Her blood test showed the marked elevation of creatine kinase and liver enzymes. Magnetic resonance imaging revealed multifocal signal changes in the abdominalis and pelvic girdle muscles suggestive of rhabdomyolysis. Magnetic resonance neurography demonstrated injury to the left sciatic and right peroneal nerves. Electrophysiologic studies also revealed lesions in the left sciatic and right peroneal nerves. After comprehensive rehabilitation and conservative treatment for three months, her muscle strength improved, and she could walk independently. Although several previous studies have reported peripheral neuropathy in immobilized patients, to the best of our knowledge, no case associated with a crowd crush has been reported. Therefore, we report the case of multifocal neuropathy combined with rhabdomyolysis in a victim of a crowd crush incident with good recovery.
我们报告了一例韩国首尔梨泰院万圣节踩踏事件的 27 岁幸存者病例，该患者被诊断为左侧坐骨神经神经病和右侧腓总神经病，伴有多灶性横纹肌溶解症。该患者因下背部到整个下肢疼痛伴有截瘫和感觉异常到急诊就诊。她的血液检查显示肌酸激酶和肝酶明显升高。磁共振成像显示腹部和骨盆带肌肉有多发性信号变化，提示横纹肌溶解症。磁共振神经成像显示左侧坐骨神经和右侧腓总神经损伤。电生理研究也显示左侧坐骨神经和右侧腓总神经病变。经过三个月的综合康复和保守治疗，她的肌肉力量有所改善，可以独立行走。尽管之前有几项研究报告了固定患者的周围神经病，但据我们所知，没有与人群挤压有关的病例报告。因此，我们报告了一例与人群挤压事件相关的多发性神经病合并横纹肌溶解症的病例，患者恢复良好。
