Jog M S, Turley J E, Berry H
Department of Neurophysiology, Wellesley Hospital, Toronto, Ontario, Canada.
Can J Neurol Sci. 1994 Feb;21(1):38-42. doi: 10.1017/s0317167100048745.
Acute femoral neuropathy after renal transplantation is an uncommon and rarely recognized complication. Recovery of the nerve is usual. Although rare, five cases have come to our attention in the past twenty years. A detailed clinical and electrophysiological analysis with a six month follow-up is presented. A review of sixteen other reported cases is also provided. The possible pathophysiology including direct compression and nerve ischemia, is discussed. We believe that nerve ischemia, possibly caused by a steal phenomenon, occurs in all cases following the anastomosis of the graft renal artery to the internal iliac artery, with a superimposed component of compression in some cases. The severity of ischemia probably determines the degree of recovery.
肾移植后急性股神经病变是一种罕见且很少被认识到的并发症。神经通常会恢复。虽然罕见，但在过去二十年中我们注意到了五例。本文呈现了一项为期六个月随访的详细临床和电生理分析。还提供了对其他十六例报告病例的综述。讨论了包括直接压迫和神经缺血在内的可能病理生理学。我们认为，在将移植肾动脉与髂内动脉吻合后的所有病例中，均会发生可能由盗血现象引起的神经缺血，在某些病例中还叠加有压迫因素。缺血的严重程度可能决定恢复程度。
