Common Peroneal Nerve Palsy after Lithotomy Position: Two case reports.
10.4097/kjae.2004.46.2.250
- Author:
Keum Young SO
1
;
Hyung Chul HAN
;
Chun Sik KIM
;
Chong Dal CHUNG
;
Byung Sik YU
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Chosun University, Gwangju, Korea.
- Publication Type:Case Report
- Keywords:
lithotomy position;
common peroneal nerve palsy
- MeSH:
Action Potentials;
Diagnosis;
Foot;
Humans;
Incidence;
Lower Extremity;
Neurologic Examination;
Paralysis*;
Peroneal Nerve*
- From:Korean Journal of Anesthesiology
2004;46(2):250-252
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Motor neuropathy of a lower extremity is well recognized potential complication of procedures performed on patients in a lithotomy position. Mechanisms of nerve injury are unclear but the incidence of perioperative nerve injuries can be reduced if anesthetists are aware of their causes and pathophysiolgies. It is important to note that reduced duration in lithotomy position may reduce the risk of lower extremity neuropathies. We experienced two case of common peroneal nerve palsy after lithotomy positioning. Diagnosis was based on history, a clinical examination and electrophysiologic studies. A neurologic examination revealed hypersthesia over the dorsum of the left foot with inability to perform active dorsiflexion. Electrophysiologic studies showed delayed latency and low amplitude of nerve action potential.
