Acute Sciatic Nerve Palsy after Sleeping in a Sitting Position: Case Report.
10.4184/jkss.2011.18.4.259
- Author:
Dae Ho HA
1
;
Sung Kyun OH
;
You Mi KIM
Author Information
1. Department of Orthopedic Surgery, Wonkwang University Sanbon Hospital, Gunpo, Korea. niceo@daum.net
- Publication Type:Case Report
- Keywords:
Sciatic neuropathy;
Foot drop;
Sitting position;
Acute sciatic nerve palsy
- MeSH:
Buttocks;
Foot;
Humans;
Hypesthesia;
Male;
Sciatic Nerve;
Sciatic Neuropathy;
Sciatica;
Thigh;
Walking
- From:Journal of Korean Society of Spine Surgery
2011;18(4):259-262
- CountryRepublic of Korea
- Language:English
-
Abstract:
STUDY DESIGN: A case report. OBJECTIVE: We wanted to present the clinical manifestation and imaging findings of a rare case of acute sciatic nerve palsy with a foot drop similar to lumbar disc herniation developed after sleeping for 8 hours in a sitting position in inebriated condition. SUMMARY OF LITERATURE REVIEW: Sciatic nerve palsy as a complication from being operated in a sitting position have been reported, but here have not been any reported cases of after-sleep sciatic nerve palsy. STUDY SUBJECT AND METHODS: Sixty eight year old male admitted to hospital due to acute onset of right foot drop, subsequent walking difficulty, and numbness of the right calf and foot. Symptoms began after 8 hours of sleeping in a sitting position. Pelvic MRI exam revealed sciatic neuropathy, and also electrophysiological exam revealed sciatic nerve palsy. RESULTS: The subject patient's conditions started improving after 6 weeks and he was able to walk again on his own. CONCLUSION: Sciatic nerve injury by prolonged pressure around the buttocks or posterior thighs, albeit rare, can develop and may cause foot drop, parethesia and sciatica.