Simultaneous femoral nerve palsy due to hemorrhage in both iliac muscles

Abstract

A man aged 65 receiving low-dose anticoagulant therapy for a previous myocardial infarction suddenly developed a bilateral femoral nerve palsy. An abdominal CT scan showed small hemorrhages in both iliac muscles with consequent compression of the femoral nerves. The case is reported for its exceptional bilaterality.

Bilateral Femoral Neuropathy After Massive Toxic Ingestion in a Suicide Attempt

“…The causes were varied (Table 1), but half of the reports (55.1%) were given after surgical processes such as abdominopelvic surgery (48.3% of total reports), radical retropubic prostatectomy, 2,3 abdominal hysterectomy, 4 vaginal hysterectomy, 5,6 microsurgical reversal of tubal sterilization, 7 or other pelvic surgery. [8][9][10][11][12][13] The other etiologies were bilateral iliacus hematoma in 4 patients, [14][15][16][17] femoral nerve injuries related to the postpartum period in process can potentially stretch the femoral nerve beyond its physiological limits with displacement of the femoral nerve equal to 6.6% of the full femoral nerve length. 27 To our knowledge, we have described the first case of bilateral femoral neuropathy after a suicide attempt.…”