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횡문근용해 환자에서 동시에 발생한 좌골신경과 척골신경마비

Combined Sciatic and Ulnar Nerve Palsy Complicating Rhabdomyolysis

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초록

We report a rare case of simultaneous sciatic and ulnar neuropathies following alcohol overdose with prolonged immobilization. He presented with swelling and pain in the right gluteal and forearm regions. Excessive elevation of serum creatine phosphokinase level indicated the presence of rhabdomyolysis. Moreover, pelvic CT showed diffuse thickening and inflammatory change of the right gluteus muscles. We suggest that these neuropathies resulted from compression and ischemia of the nerves by the swollen muscles identified through the CT scan.

Abstract

We report a rare case of simultaneous sciatic and ulnar neuropathies following alcohol overdose with prolonged immobilization. He presented with swelling and pain in the right gluteal and forearm regions. Excessive elevation of serum creatine phosphokinase level indicated the presence of rhabdomyolysis. Moreover, pelvic CT showed diffuse thickening and inflammatory change of the right gluteus muscles. We suggest that these neuropathies resulted from compression and ischemia of the nerves by the swollen muscles identified through the CT scan.

참고문헌 (10)

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  6. Warren JD, "Rhabdomyolysis: a review", Muscle Nerve, 25, pp.332~347 (2002)
  7. Prendergast B, "Drug-induced rhabdomyolysis: mechanisms and management", Postgrad Med J, 69, pp.333~336 (1993)
  8. Akmal M, "Peripheral nerve damage in patients with nontraumatic rhabdomyolysis", Arch Intern Med, 143, pp.835~837 (1983)
  9. Al-Shekhlee A, "The electromyographic features of acute rhabdomyolysis", J Clin Neuromuscul Dis, 6, pp.114~118 (2005)
  10. Owen CA, "Intramuscular pressures with limb compression", N Engl J Med, 300, pp.1169~1172 (1979)

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