Sensory Polyneuropathy and Cobalt Intoxication after Metal-on-Metal Total Hip Arthroplasty.
10.17340/jkna.2017.35.3.2
- Author:
Soo JEONG
1
;
Hyunjin KIM
;
Young Min LIM
;
Kwang Kuk KIM
Author Information
1. Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kkkim@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Polyneuropathies;
Cobalt;
Arthroplasty
- MeSH:
Alloys;
Arthroplasty;
Arthroplasty, Replacement, Hip*;
Axons;
Chelation Therapy;
Cobalt*;
Hip Joint;
Humans;
Neural Conduction;
Polyneuropathies*
- From:Journal of the Korean Neurological Association
2017;35(3):129-132
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We describe a patient with sensory polyneuropathy and cobalt intoxication. The cause of cobalt intoxication was metallosis of a metal-on-metal hip joint composed of cobalt-chrome alloy. A nerve conduction study revealed axonal sensory polyneuropathy, which improved slightly after chelation therapy and revision surgery. This case implies that a history of arthroplasty should not be neglected in the context of sensory polyneuropathy.