일산화탄소 중독 후 발생한 양측성 대퇴 신경 마비 - 증례 보고 -
Bilateral Femoral Neuropathy in Carbon Monoxide Poisoning - A Case Report -
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Simultaneous bilateral femoral neuropathies are very rare and have been reported as results of pelvic surgery or related to pregnancy. We have experienced a patient with bilateral femoral neuropathy and rhabdomyolysis associated with CO poisoning. A 72-year-old male was admitted to hospital in an unconsciousness state. The patient has been found lying on the edge of the bed with hip extended position. Laboratory results showed rhabdomylosis and concentration of CO-Hb was 17.5%. After receiving oxygen therapy, the patient regained consciousness; however, he cannot walk due to lower extremity weakness. Nerve conduction and electromyography revealed bilateral femoral and saphenous neuropathy. Pelvic MRI has shown rhabdomyolysis at the confluent portion of iliacus-psoas muscles. Although the patient had been treated with comprehensive rehabilitation programs, he achieved limited functional improvement in mobility and balance. After six months, bilateral femoral neuropathy was persisted with minor improvement.
Abstract
Simultaneous bilateral femoral neuropathies are very rare and have been reported as results of pelvic surgery or related to pregnancy. We have experienced a patient with bilateral femoral neuropathy and rhabdomyolysis associated with CO poisoning. A 72-year-old male was admitted to hospital in an unconsciousness state. The patient has been found lying on the edge of the bed with hip extended position. Laboratory results showed rhabdomylosis and concentration of CO-Hb was 17.5%. After receiving oxygen therapy, the patient regained consciousness; however, he cannot walk due to lower extremity weakness. Nerve conduction and electromyography revealed bilateral femoral and saphenous neuropathy. Pelvic MRI has shown rhabdomyolysis at the confluent portion of iliacus-psoas muscles. Although the patient had been treated with comprehensive rehabilitation programs, he achieved limited functional improvement in mobility and balance. After six months, bilateral femoral neuropathy was persisted with minor improvement.
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