Common peroneal and posterior tibial ischemic nerve damage, a rare cause

Sprowson, Andrew P.; Rankin, Kenneth; Shand, J. E. G.; Ferrier, G.

doi:10.1016/j.fas.2009.04.003

Cited by 5 publications

(4 citation statements)

References 16 publications

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“…We reviewed previous studies concerning ischemic peroneal neuropathy. One case reported femoral bypass surgery as a potential cause of the peroneal and tibial neuropathy [ 3 ]. In another case, peroneal palsy was reported after over 5 hours of leg ischemia due to femoral artery cannulation when performing cardiopulmonary bypass [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

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Common Peroneal Neuropathy With Anterior Tibial Artery Occlusion: A Case Report

et al. 2017

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Peroneal neuropathy is a common mononeuropathy of the lower limb. Some studies have reported cases of peroneal neuropathy after vascular surgery or intervention. However, no cases of peroneal neuropathy with occlusion of a single peripheral artery have been previously reported. A 73-year-old man was referred with a 3-week history of left-sided foot drop. He had a history of valvular heart disease and arrhythmia, and had previously been treated with percutaneous coronary intervention. Computed tomography angiogram of the lower extremity showed proximal occlusion of the left anterior tibial artery. An electrodiagnostic study confirmed left common peroneal neuropathy. After diagnosis, anticoagulation therapy was started and he received physical therapy.

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Section: Discussionmentioning

confidence: 99%

“…Some cases of peroneal neuropathy after vascular surgery or intervention have been reported [ 2 3 4 ]. However, there have been no reported cases of peroneal neuropathy with specific occlusion of a peripheral artery.…”

Section: Introductionmentioning

confidence: 99%

Common Peroneal Neuropathy With Anterior Tibial Artery Occlusion: A Case Report

et al. 2017

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“…A review of the existing literature showed only a limited number of combined peroneal and tibial nerve lesions [1,[4][5][6][7]. A review of the literature revealed only one case, which was reported by Tacconi et al who described an acute combined nerve lesion that resulted from external compression of the extremity [1].…”

Section: Discussionmentioning

confidence: 99%

Peroneal and tibial nerve paralysis after prolonged knee flexion

Mesci

Gündüz

2016

MMJ

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Concurrent paralysis of tibial and peroneal nerves due to acute compression is a rare incident. Here, a case of combined peroneal and tibial nerve lesion is reported for the first time ever in the literature which developed acutely due to forced, long-term flexion of the knee joint and failed to show adequate clinical or electrophysiological improvement despite eighteen months of follow-up. A 38-year-old female patient was kept in a fixed position in her bed for about 10 hours in such a way that her left knee was in full flexion. Only partial improvement could be achieved in her neurological symptoms 18 months after the incident and electrophysiological assessment showed limited regeneration. Severe axonal degeneration of both nerves was considered to occur in this patient particularly due to extreme flexion of the knee together with long-term compression. Knee flexion coexisting with long-term compressions may severely damage the peroneal nerve and also the tibial nerve, which is more resistant to compression neuropathy compared to the peroneal nerve. Knee flexion for about 10 hours of compression might have resulted in severe axonal degeneration and affected the prognosis unfavorably. Keywords: Electromyography, Peripheral nerve injuries, Peroneal neuropathy, Tibial neuropathy ÖZTibial ve peroneal sinirlerin akut kompresyona bağlı olarak birlikte paralizisi nadir görülen bir durumdur. Bu olgu raporunda, literatürde ilk olarak diz ekleminin uzun süreli zorlu fleksiyonda kalmasına bağlı olarak akut gelişen ve 18 aylık takip süresine rağmen klinik ve elektrofizyolojik olarak yeterli düzelme gösteremeyen bir kombine peroneal ve tibial sinir lezyonu bildirildi. Otuzsekiz yaşında kadın hasta yaklaşık 10 saat süreyle sol dizi tam fleksiyonda olacak şekilde yatağında sabit pozisyonda kalmıştı. Hastada olayın üzerinden 18 ay geçmesine rağmen nörolojik tabloda sadece kısmi bir düzelme oldu, elektrofizyolojik incelemede ise sınırlı bir rejenerasyon gösterilebildi. Hastada basının uzun süreli olması ile birlikte özellikle dizin aşırı fleksiyonda kalması nedeniyle her iki sinirde ağır aksonal dejenerasyon geliştiği anlaşılmaktadır. Diz fleksiyonu ile birlikte olan uzun süreli kompresyonlar peroneal sinirle birlikte, kompresyon nöropatisine ondan daha dayanıklı olan tibial siniri de ağır biçimde hasarlayabilmektedir. Diz fleksiyonda iken yaklaşık 10 saat süreli kompresyon ağır aksonal dejenerasyona yol açabilmekte ve prognozu olumsuz etkilemektedir.

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“…The other two experienced an ipsilateral femoral artery occlusion [ 8 ]. In another case report, ischemic neuropathy of the peroneal and tibial nerve as a rare complication of aorto-femoral bypass surgery has been described [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous ischemic neuropathy of the sciatic nerve due to arterial occlusion – a rare cause of acute neuropathy not to be missed, a report of two cases

2022

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Background Ischemic neuropathy of the sciatic nerve without preceding vascular surgical procedures is a rare condition and may be due to arterial occlusion in one limb. Case presentations We present two cases with acute onset of pain and sensory symptoms such as pins and needles and numbness in the foot with no or mild motor symptoms. In the neurological work-up, electrophysiological signs of axonal neuropathy of both peroneal and tibial nerves were demonstrated and T2 hyperintensity was seen in the distal sciatic nerves on MR neurography as well as signs indicating arterial thrombosis in the corresponding vessels. Recanalization was obtained in both patients angiographically with significant improvement in one patient. Conclusions Spontaneous arterial occlusion of major or peripheral arteries is a rare but important cause of acute onset of single or multiple axonal mononeuropathies of one extremity. Recognition of this infrequent cause is essential since it requires immediate and specific therapeutic options.

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Common peroneal and posterior tibial ischemic nerve damage, a rare cause

Cited by 5 publications

References 16 publications

Common Peroneal Neuropathy With Anterior Tibial Artery Occlusion: A Case Report

Common Peroneal Neuropathy With Anterior Tibial Artery Occlusion: A Case Report

Peroneal and tibial nerve paralysis after prolonged knee flexion

Spontaneous ischemic neuropathy of the sciatic nerve due to arterial occlusion – a rare cause of acute neuropathy not to be missed, a report of two cases

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