고관절의 과도한 외전 후 발생한 양측 좌골신경병증 1예
A Case Report of Bilateral Sciatic Neuropathy after Hyper-abduction of Hip Joint
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Bilateral sciatic neuropathy is known to be an uncommon disease. We report a case of 22-year-old female patient with bilateral sciatic nerve palsy after positioning both hip abduction. While the patient who is a musical actor was forward bent for stretch of both hips, her actor colleagues pressed her trunk suddenly and forcefully with the intention of trying to help. After then, she complained of hypesthesia and weakness on both lower extremities. Bilateral sciatic neuropathies were confirmed by physical examination and electrodiagnostic study. There is no hematoma or something to compressing the nerve through the magnetic resonance imaging study of lumbosacral spine including pelvis. We concluded that bilateral sciatic neuropathies in this case result from hyperstretching of sciatic nerves by both hip abduction.
Abstract
Bilateral sciatic neuropathy is known to be an uncommon disease. We report a case of 22-year-old female patient with bilateral sciatic nerve palsy after positioning both hip abduction. While the patient who is a musical actor was forward bent for stretch of both hips, her actor colleagues pressed her trunk suddenly and forcefully with the intention of trying to help. After then, she complained of hypesthesia and weakness on both lower extremities. Bilateral sciatic neuropathies were confirmed by physical examination and electrodiagnostic study. There is no hematoma or something to compressing the nerve through the magnetic resonance imaging study of lumbosacral spine including pelvis. We concluded that bilateral sciatic neuropathies in this case result from hyperstretching of sciatic nerves by both hip abduction.
참고문헌 (10)
- Elizabeth A, "Bilateral sciatic nerve palsy: A new presentation of toilet bowl neuropathy", J Emerg Med, 38, pp.417~562 (2010)
- 강세윤, "좌골신경 마비의 임상 및근전도 소견", 대한재활의학회지, 12, pp.85~91 (1988)
- 현정근, "좌골신경 손상의 원인 및 위치에 따른 전기진단 소견", Annals of Rehabilitation Medicine, 28(1), pp.54~58 (2004), 대한재활의학회
- Dumitru D, "Lumbosacral plexopathies and proximal mononeuropathies, In Electrodiagnostic Medicine, 2nd ed", pp.871~872 (2002), Hanley & Belfus
- Lutz K, "Bilateral sciatic nerve“ Saturday night palsy”", J Neurol, 248, pp.425~ (2001)
- Jia CW, "Bilateral sciatic neuropathy as a complication of craniotomy performed in the sitting position: localization of nerve injury by using magnetic resonance imaging", Childs Nerv Syst, 28, pp.159~163 (2012)
- Poppi M, "A hazard of craniotomy in the sitting position: the posterior compartment syndrome of the thigh", J Neurol, 71, pp.618~619 (1989)
- Ku A, "Bilateral proximal sciatic neuropathy caused by a fall", Muscle Nerve, 19, pp.113~ (1996)
- Reinstein L, "Sciatic nerve compression by preexisting heterotopic ossification during general anesthesia in the dorsal lithotomy position", Arch Phys Med Rehabil, 64, pp.65~68 (1983)
- Surderland S, "The relative susceptibility to injury of the medial and lateral popliteal divisions of the sciatic nerve", Br J Surg, 41, pp.300~302 (1953)