Bilateral Femoral Neuropathy Secondary to Unilateral Retroperitoneal Hematoma.
- Author:
Soo Hyun LEE
1
;
Ki Hwan KIM
;
Geun Yeol JO
Author Information
1. Department of Rehabilitation Medicine, Masan Samsung Hospital, Sungkyunkwan University School of Medicine.
- Publication Type:Case Report
- Keywords:
Bilateral femoral neuropathy;
Unilateral retroperitoneal hematoma
- MeSH:
Abdominal Wall;
Action Potentials;
Adult;
Femoral Nerve;
Femoral Neuropathy*;
Hematoma*;
Hemorrhage;
Hip;
Humans;
Hypesthesia;
Knee;
Leg;
Muscle Weakness;
Muscles;
Neural Conduction;
Psoas Muscles;
Quadriceps Muscle;
Thigh;
Wounds, Stab
- From:Journal of the Korean Academy of Rehabilitation Medicine
2001;25(1):168-172
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The location of pelvic portion of the femoral nerve between the iliacus and psoas muscles makes the nerve particularly vulnerable in hemorrhage within iliacus. We report a uncommon case of bilateral femoral neuropathy resulting from unilateral retroperitoneal hematoma. A 28-year-old man developed zero-trace grade of muscular weakness on both knee extensor muscles, numbness over bilateral anteromedial thighs and medial lower legs, tenderness of both hip adductor muscles after stab wound at left abdominal region. Abdominal computerized tomographic finding showed hematoma of left psoas muscles. Electromyographic examination revealed no motor unit action potentials in both iliopsoas, vastus medialis and adductor longus muscles. Nerve conduction study noted no compound motor action potentials of both femoral nerves. The fascial walls and laminae of the pouches in the lower abdominal wall tend to reinforce the rigidity of the fibrous arch over the femoral nerve in the intermuscular groove. This neuropathy is suggested, when the pouches are filled with blood, would further increase pressure on the subjacent nerves, especially bilateral femoral nerves.
