Femoral Neuropathy—an Unusual Complication of Renal Transplantation

Kumar, Anant; Dalela, Divakar; Bhandari, M; Mishra, Urvashi; Kher, Vijay; Gupta, Aman

doi:10.1097/00007890-199106000-00032

Cited by 11 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For the years 1976 and 2019, 18 reports containing 184 individuals who developed femoral neuropathy secondary to KT surgery were identified from 11 countries [Table 1]. [10,11,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] The mean and median reported age was 39.78 (SD 7.10) and 38 years (range: 5-69 years). The male was the predominant sex with a percentage of 62.5%.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 455 papers were found; 399 were irrelevant [Figure 1]. [10,11,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] When provided, we extracted author, year of publication, country of occurrence, number of patients affected, primary kidney disease leading to renal failure, preexisting diseases that might have contributed to the neuropathy, time from surgery to neuropathy onset, time from neuropathy onset to recovery, patient's status at follow-up, and management. The majority of the reports did not provide information about the primary kidney disease and the time from surgery to onset.…”

Section: Data Extractionmentioning

confidence: 99%

See 1 more Smart Citation

Femoral neuropathy after kidney transplantation: A literature review of case reports and case series

Rissardo

Caprara

2020

Ibnosina Journal of Medicine and Biomedical Sciences

View full text Add to dashboard Cite

Kidney transplant (KT) surgery can increase survival probability more than any other transplant. In this context, neurological complications could occur in an important percentage of individuals because this surgery is considered one of the most common organ transplantations. One rare type of neurological complication, which can occur after KT surgery, is the femoral motor neuropathy. We aimed to evaluate the clinical epidemiological profile and pathological mechanisms of femoral motor neuropathy after KT surgery. Relevant reports in six databases were identified and reviewed by two reviewers without language restriction. Seventeen reports of 183 cases from ten countries, more one unpublished case from our institution were assessed. The mean age was 39 years (range 5–69) with male sex (62.5%) and Asiatic origin predominance. The central primary kidney disease leading to renal failure was essential hypertension. The mean time from KT surgery to the onset of femoral neuropathy was 1.78 days, and the time from the occurrence of neuropathy to recovery was 6 months. The incidence of femoral neuropathy after KT surgery was 1.85%. The current review provides four possible mechanisms related to this complication, but maybe these explanations lead to a misunderstanding of the main risk factors for the development of femoral neuropathy. Furthermore, studies with current surgical techniques should be investigated because most of the data come from the old literature. Therefore, prospective studies and reports assessing the graft-recipient ratio and management options should be done.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Data Extractionmentioning

confidence: 99%

Femoral neuropathy after kidney transplantation: A literature review of case reports and case series

Rissardo

Caprara

2020

Ibnosina Journal of Medicine and Biomedical Sciences

View full text Add to dashboard Cite

show abstract

“…Isolated neuropathy of the saphenous nerve is rare and occurs mainly following surgical trauma due to compression in the adductor canal [I] and during femoral angiography [2]. Compres sion by hematoma or ischemic injury due to spasm of the vasa nervosum is possible [3] but unlikely in our patient because of a lack o f motor weakness, normal conduction time of the femoral nerve and absence o f denervation. In our patient not only the femoral nerve but the superficial radial nerve was also damaged during the venipuncture or preparation of the A-V shunt.…”

mentioning

confidence: 84%

Femoral and Radial Neuropathy following Vascular Access Cannulation for Hemodialysis

Kalita

Misra

Sharma

et al. 1995

Nephron

View full text Add to dashboard Cite

“…The incidence (2.2%) of AFN as a complication of RTSP was rare in our prospective study. Among the previous case reports [15][16][17][18][19][20][21][22][23][24] of AFN following RTSP, only 3 retrospective studies have reported the incidence, which varied from very rare (0.7%) 24 to rare (3.9%) 21 to significant (8.4%). 18 This variability in incidence cannot be explained on the basis of surgical technique, volume, or number of operations performed in a given period, because all these studies used similar technique and approximately similar number of RTSPs in a given period.…”

Section: Commentmentioning

confidence: 99%

“…There are several possible mechanisms that could be involved in the pathogenesis of AFN following RTSP. The most common mechanism postulated [15][16][17][18][19][20][21][22][23][24] is one of instrument-induced injury during operative procedure. The surgical site is above the psoas and distant from the path of the femoral nerve.…”

Section: Mechanisms Of Afnmentioning

confidence: 99%