P153 Common peroneal nerve and tibial nerve paralysis secondary to herpes zoster infection: a case report

Boylu, Ece; Domaç, Füsun Mayda; Saraçoğlu, Mehmet

doi:10.1016/s1388-2457(08)60424-1

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The clinical and electrodiagnostic features of HZ‐associated paresis have long been recognized,4 but the precise mechanism of weakness in these patients is poorly understood. Virally mediated injury at the level of the anterior horn cell or ventral root has been postulated as the cause of HZ paresis,5–7 but there have been individual reports of zoster‐associated mononeuropathies (ZAMs) that raise the question of a distally mediated neuropathic mechanism in some patients with HZ paresis 8–11…”

mentioning

confidence: 99%

Zoster‐associated mononeuropathies (ZAMs): A retrospective series

2012

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Zoster‐associated mononeuropathies (ZAMs): A retrospective series

2012

View full text Add to dashboard Cite

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract

P153 Common peroneal nerve and tibial nerve paralysis secondary to herpes zoster infection: a case report

Cited by 2 publications

References 0 publications

Zoster‐associated mononeuropathies (ZAMs): A retrospective series

Zoster‐associated mononeuropathies (ZAMs): A retrospective series

Peroneal and tibial nerve paralysis after prolonged knee flexion

Contact Info

Product

Resources

About