Foot drop following spinal anaesthesia

Aycan, İlker Öngüç; Turgut, Hüseyin; Güzel, Abdulmenap; Doğan, Erdal; Kavak, Gönül Ölmez

doi:10.1016/j.bjane.2014.06.003

Cited by 2 publications

(4 citation statements)

References 4 publications

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“…From a scan of literature, no other report of such an etiology of foot drop was found. Foot drop has been reported to occur after total knee prosthesis due to tight bandage application, fibula head avulsion, apparatus making inappropriate excessive pressure, vascular injuries and compartment syndrome [17,21,31,32,33]. In 2 of the current study cases, pneumatic tourniquet was used for an appropriate time at an appropriate pressure and no tight bandaging was used postoperatively.…”

Section: Discussionmentioning

confidence: 87%

“…These include diseases affecting the central nervous system, trauma, diseases affecting the peripheral nervous system and diseases or trauma affecting the muscle and tendon. Many reasons have been reported such as ganglion cyst in the proximal tibiofibular joint [3], motor cortex contusion [4], long-term lead intoxication [5], tight application of compression bandage [6,7], after lateral decubitus position [8] following dislocation reduction after total hip arthroplasty and gluteal haematoma [9,10], a complication of disc surgery [11], peripheral nerve entrapment [12,13], poorly administered injections (14], sciatic nerve pressure, piriformis syndrome [15], knee dislocations [16], following spinal and spinoepidural anaesthesia [17], paraspinal abscess [18], myopathies [19], neuropathic demyelinisation, hereditary neuropathies [20], popliteal artery aneurism [21], stroke [22,23], neuromuscular diseases [24,25], degenerative lumbar spinal diseases [26], gluteal compartment syndrome [27], decompression in burns [28], parasitic diseases such as neuro schistomiasis [29], after lower extremity compartment syndrome [30], and after total knee prosthesis [31].…”

Section: Introductionmentioning

confidence: 99%

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New and unusual causes of foot drop

Aldemir¹,

Duygun²

2017

Med-Science

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Several reasons for foot drop have been reported in literature. In recent years, innovations have been added associated with some current treatment methods. The study comprised 12 patients who presented with foot drop, with rarely seen or not previously encountered causes. The patients comprised 6 males and 6 females with a mean age of 41.25 years (range, 18-72 years). The etiology of the foot drop which developed in the patients was after taking the peroneus longus tendon as autograft with a tendon stripper in 2 cases, after revision total knee arthroplasty in 1 case, after primary total knee arthroplasty in 2 cases, after a fall while playing football in 1, after injection in 3, secondary to bilateral compartment syndrrome in 1, after lying in a lateral position for a long time during a kidney operation in 1 and following a burn injury in 1 case. Of the total 12 patients, transfer of the tibialis posterior tendon to the anterior was applied in 4 cases. Decompression and fasciotomy was applied to 2 cases. In 3 cases, surgical tendon transfer was recommended but the patients rejected this treatment. Conservative follow-up was applied to 3 cases. The 4 patients applied with tendon transfer returned to daily activities problem-free. In the 2 cases applied with decompression and fasciotomy, full sensory and motor functions returned to normal in the 15th and 16th week. The motor and sensory functions of the 3 patients followed up conservatively returned to normal in the 14th-15th weeks. Foot drop is the result of an underlying problem rather than a disease per se. New treatment methods applied in orthopaedic surgery may cause the development of unusual foot drop. An awareness of these is necessary together with a detailed anamnesis, examination and laboratory tests to be able to determine the reason and plan treatment.

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Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

New and unusual causes of foot drop

Aldemir¹,

Duygun²

2017

Med-Science

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“…Transverse needle insertion is associated with greater nerve injury than horizontal insertion and is better avoided. 2 Paraesthesia while performing neuraxial anaesthesia may be due to direct trauma to nerve roots or spinal cord. As there are no nerve roots posteriorly in the epidural space, cord penetration should be suspected if the patient complains of paraesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…Neurologic complications following regional anaesthesia are rare with an incidence of 1 in 10,000 cases. 1,2 If a patient complains of severe pain or paraesthesia while performing regional anaesthesia, neurological deficits in the postoperative period should be anticipated. The neurological damage could be attributed to direct trauma, epidural haematoma or chemical irritation.…”

Section: Introductionmentioning

confidence: 99%

Foot Drop following Neuraxial Anaesthesia: A Case Report

Puthenveettil

Paul

Rajan

et al. 2021

Sri Lankan J Anaesthesiol

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Neurological complications during neuraxial anaesthesia are rare but if they occur, the consequences are disastrous. In most cases, it is difficult to identify the exact aetiology. For a good recovery, early diagnosis and intervention should be ensured. We report a case of foot drop following possible needle trauma in a patient who underwent total abdominal hysterectomy under combined spinal-epidural technique.

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Foot drop following spinal anaesthesia

Cited by 2 publications

References 4 publications

New and unusual causes of foot drop

New and unusual causes of foot drop

Foot Drop following Neuraxial Anaesthesia: A Case Report

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