Foot Drop of Contralateral Limb after Deformity Correction in a Polio Patient: A Case Report.
10.14193/jkfas.2014.18.2.83
- Author:
Sang Gyo SEO
1
;
Jae Young PARK
;
Jin Tae KIM
;
Ji Beom KIM
;
Dong Yeon LEE
Author Information
1. Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Korea. leedy@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Poliomyelitis;
Spinal anesthesia;
Paralysis;
Postpoliomyelitis syndrome
- MeSH:
Anesthesia;
Anesthesia, Spinal;
Congenital Abnormalities*;
Extremities*;
Female;
Foot Deformities;
Foot*;
Humans;
Incidence;
Leg;
Middle Aged;
Nervous System Diseases;
Paralysis;
Physical Examination;
Poliomyelitis*;
Poliovirus;
Postpoliomyelitis Syndrome;
Vaccination
- From:Journal of Korean Foot and Ankle Society
2014;18(2):83-86
- CountryRepublic of Korea
- Language:English
-
Abstract:
Postpoliomyelitis syndrome is a common neurological disorder that occurs in patients who have experienced paralytic poliomyelitis. Recently, as a result of vaccination against poliovirus, incidence of poliomyelitis is exceedingly low. However, many patients with postpolio syndrome may encounter anesthesia when undergoing surgery, such as for correction of foot deformity and other operations. We report on a 45-year-old woman who experienced paralysis of her contralateral limb after operation on the left foot under spinal anesthesia. Postoperative electromyography/nerve conduction study (EMG/NCS) was performed in order to determine the cause of paralysis. Motor power of the sequelae involved leg showed improvement with time and recovered fully to the preoperative level at six months after the index operation. A precise evaluation, including a physical examination and EMG/NCS, should be performed preoperatively when spinal anesthesia is planned for postpolio syndrome patients.
