Common peroneal nerve palsy as a complication of anterior cervical operation: a case report

Yi, Hyeong Joong; Oh, Seong Hoon; Hong, Hyun Jong; Lee, Kyu Seok

doi:10.1016/s0090-3019(03)00452-x

Cited by 9 publications

(7 citation statements)

References 5 publications

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“…[1][2][3] Compression of the CPN by a popliteal artery aneurysm and pseudoaneurysm has been reported previously as a cause. 5,6 However, this is the first reported case of CPN compression by a popliteal venous aneurysm.…”

Section: Discussionmentioning

confidence: 91%

“…Furthermore, CPN palsy has been reported to be caused by a prolonged posture, surgery, a fracture, casting, and, rarely, by tumors of the popliteal fossa, although an idiopathic cause is most commonly encountered. [1][2][3] Spontaneous venous aneurysms are uncommon and are of little clinical significance in most cases. In particular, popliteal venous aneurysms are a rare disease entity, and few cases have been described.…”

mentioning

confidence: 99%

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Common Peroneal Nerve Compression by a Popliteal Venous Aneurysm

Jang

Lee

Han

2009

American Journal of Physical Medicine &Amp; Rehabilitation

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A 58-yr-old man with a right foot drop and a sensory change in the right calf and foot, which developed after a bladder operation, was referred to our clinic for an electrodiagnostic evaluation. Neurologic examination showed grade 1 weakness of the right ankle in dorsiflexion, great toe in dorsiflexion, and ankle in eversion. In addition, the patient complained of pain and a tingling sensation in the right calf and foot. Electrodiagnostic findings were consistent with right common peroneal nerve palsy at the level of the fibula head. In addition, duplex ultrasonography, computed tomography angiography, and magnetic resonance imaging revealed a right popliteal venous aneurysm and impingement of the right common peroneal nerve between the aneurysm and the belly of the biceps femoris muscle. After resection of the aneurysm, his sensory symptoms and motor strength of the right foot and calf gradually improved. This case suggests that compression by the venous system should be considered when there is clinical evidence of focal neuropathy but no abnormal findings at common entrapment sites.

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Section: Discussionmentioning

confidence: 91%

mentioning

confidence: 99%

Common Peroneal Nerve Compression by a Popliteal Venous Aneurysm

Jang

Lee

Han

2009

American Journal of Physical Medicine &Amp; Rehabilitation

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“…Though CPN palsies are reported after the neurosurgical operations performed in sitting position, it is very rare in supine positioned procedures espacially after ACDF operations. [4] In the literature we could find just one case of a CPN palsy after anterior cervical discectomy operation which is reported by Yi et al 2 .…”

Section: Discussionmentioning

confidence: 89%

“…Among the various postoperative complications of ACDF operation, peripheral nerve injuries related to the intraoperative positioning have been reported very rarely in neurosurgical practice so the true incidence remains unclear. A review of the literature found just one case report describing Olgu Sunumu / Case Report common peroneal nerve palsy due to surgical positioning after ACDF operation 2 . In this report we describe a common peroneal nerve (CPN) palsy, in our opinion which is facilitated by dislipidemia, after an anterior cervical discectomy operation and discuss the medicolegal implications of intraoperative nerve injuries in the light of the foregoing literature.…”

Section: Introductionmentioning

confidence: 99%

Anterior Servikal Diskektomi ve Füzyon Ameliyatı Sonrası Beklenmeyen Bir Komplikasyon: Düşük Ayak

Çetinalp¹,

Özsoy²,

Çetinalp³

et al. 2015

Cukurova Medical Journal

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Among the various postoperative complications of anterior cervical discectomy and fusion (ACDF) operation, common peroneal nerve (CPN) palsy is a rare one. In this report we present a 47 years old, female patient who suffered from foot drop postoperatively after an ACDF operation performed in supine position and discuss the medicolegal implications of intraoperative nerve injuries in the light of the foregoing literature. CPN palsy due to intraoperative positioning in neurosurgical practice is very seldomly reported. CPN palsy occurrence should be anticipated and prevented espacially in the presence of the risk factors. There is still a serious need for a more comprehensive understanding of these risk factors. On the other hand intraoperative nerve injuries are becoming a subject of litigation more frequently. The interdisciplinary responsibilities concerning the positioning must be clearly defined and it is essential that the documentation of positioning is carried out as accurately as possible.

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“…Such a report brings forth several other instances where CPN palsy was reported in association with some unrelated procedure or instances as reported by the authors in current report. Few of such reports were anterior cervical operation, [2] liver surgery [3] and pronged wave surfing. [4] We believe that what is reported in the literature could be just the tip of the iceberg and many similar cases might have gone unreported.…”

mentioning

confidence: 99%