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Wonsik Ahn - One of the best experts on this subject based on the ideXlab platform.
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bilateral Femoral Neuropathy after vaginal delivery a case report
Korean Journal of Anesthesiology, 2009Co-Authors: Seung Pyo Choi, Wonsik AhnAbstract:Epidural analgesia is frequently used for the management of labor pain in parturients. The neurologic complications of epidural analgesia are rare, but they are catastrophic when they occur. We report here on a case of bilateral Femoral Neuropathy in a vaginal delivery patient with epidural analgesia. The patient complained of weakness of both thighs and numbness around both knees. Neurologic examination and electromyographic study revealed that they occurred due to the delivery itself. The patient had not fully recovered at eight weeks after delivery. The declining incidence of postpartum Femoral Neuropathy may reflect a reduced duration of labor in accordance with modern obstetric practice, and particularly the more frequent use of Caesarean delivery. The exact etiology of postpartum Femoral Neuropathy is unknown, and the possible factors are direct compression of nerves that are proximal within the pelvis by either the fetal head or birthing instruments, or this malady is the result of pressure induced ischemia at the level of the inguinal ligament when the pregnant woman is in the lithotomy position.
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Bilateral Femoral Neuropathy after vaginal delivery − A case report −
Korean Journal of Anesthesiology, 2009Co-Authors: Seung Pyo Choi, Wonsik AhnAbstract:Epidural analgesia is frequently used for the management of labor pain in parturients. The neurologic complications of epidural analgesia are rare, but they are catastrophic when they occur. We report here on a case of bilateral Femoral Neuropathy in a vaginal delivery patient with epidural analgesia. The patient complained of weakness of both thighs and numbness around both knees. Neurologic examination and electromyographic study revealed that they occurred due to the delivery itself. The patient had not fully recovered at eight weeks after delivery. The declining incidence of postpartum Femoral Neuropathy may reflect a reduced duration of labor in accordance with modern obstetric practice, and particularly the more frequent use of Caesarean delivery. The exact etiology of postpartum Femoral Neuropathy is unknown, and the possible factors are direct compression of nerves that are proximal within the pelvis by either the fetal head or birthing instruments, or this malady is the result of pressure induced ischemia at the level of the inguinal ligament when the pregnant woman is in the lithotomy position.
P R Meech - One of the best experts on this subject based on the ideXlab platform.
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Femoral Neuropathy following renal transplantation
Australian and New Zealand Journal of Surgery, 1990Co-Authors: P R MeechAbstract:Femoral Neuropathy is an uncommon complication that can occur subsequent to a number of abdominal and/or pelvic procedures. The Neuropathy is usually evident immediately after the operation, but there may be some delay in diagnosis of the clinical problem. The Neuropathy generally resolves completely after a period of time, but in some instances there may be a residual deficit. Four cases of Femoral Neuropathy are described which developed after operation for renal transplantation.
Seung Pyo Choi - One of the best experts on this subject based on the ideXlab platform.
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bilateral Femoral Neuropathy after vaginal delivery a case report
Korean Journal of Anesthesiology, 2009Co-Authors: Seung Pyo Choi, Wonsik AhnAbstract:Epidural analgesia is frequently used for the management of labor pain in parturients. The neurologic complications of epidural analgesia are rare, but they are catastrophic when they occur. We report here on a case of bilateral Femoral Neuropathy in a vaginal delivery patient with epidural analgesia. The patient complained of weakness of both thighs and numbness around both knees. Neurologic examination and electromyographic study revealed that they occurred due to the delivery itself. The patient had not fully recovered at eight weeks after delivery. The declining incidence of postpartum Femoral Neuropathy may reflect a reduced duration of labor in accordance with modern obstetric practice, and particularly the more frequent use of Caesarean delivery. The exact etiology of postpartum Femoral Neuropathy is unknown, and the possible factors are direct compression of nerves that are proximal within the pelvis by either the fetal head or birthing instruments, or this malady is the result of pressure induced ischemia at the level of the inguinal ligament when the pregnant woman is in the lithotomy position.
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Bilateral Femoral Neuropathy after vaginal delivery − A case report −
Korean Journal of Anesthesiology, 2009Co-Authors: Seung Pyo Choi, Wonsik AhnAbstract:Epidural analgesia is frequently used for the management of labor pain in parturients. The neurologic complications of epidural analgesia are rare, but they are catastrophic when they occur. We report here on a case of bilateral Femoral Neuropathy in a vaginal delivery patient with epidural analgesia. The patient complained of weakness of both thighs and numbness around both knees. Neurologic examination and electromyographic study revealed that they occurred due to the delivery itself. The patient had not fully recovered at eight weeks after delivery. The declining incidence of postpartum Femoral Neuropathy may reflect a reduced duration of labor in accordance with modern obstetric practice, and particularly the more frequent use of Caesarean delivery. The exact etiology of postpartum Femoral Neuropathy is unknown, and the possible factors are direct compression of nerves that are proximal within the pelvis by either the fetal head or birthing instruments, or this malady is the result of pressure induced ischemia at the level of the inguinal ligament when the pregnant woman is in the lithotomy position.
M Fontoira - One of the best experts on this subject based on the ideXlab platform.
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acute Femoral Neuropathy secondary to an iliacus muscle hematoma
Journal of the Neurological Sciences, 2003Co-Authors: M Seijomartinez, E Fontoira, M FontoiraAbstract:We present a patient with a spontaneous iliacus muscle hematoma, appearing immediately after a minor physical maneuver, presenting with pain and Femoral Neuropathy initially evidenced by massive quadriceps muscle fasciculations. A magnetic resonance imaging (MRI) study of the pelvic area confirmed the diagnosis, showing a hematoma secondary to a partial muscle tear. The patient was managed conservatively, and the continuous muscle activity ceased in 3 days, with progressive improvement of the pain and weakness. The recovery was complete. Femoral Neuropathy is uncommon and usually due to compression from psoas muscle mass lesions of diverse nature, including hematomas. Usually subacute, Femoral Neuropathy may present acutely in cases of large or strategically placed compressive Femoral nerve lesions, and may require surgical evacuation. The case presented herein is remarkable since the muscle hematoma appeared after a nonviolent maneuver, fasciculations were present at onset, and conservative management was sufficient for a full recovery.
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short communication acute Femoral Neuropathy secondary to an iliacus muscle hematoma
2003Co-Authors: M Seijomartinez, E Fontoira, M FontoiraAbstract:We present a patient with a spontaneous iliacus muscle hematoma, appearing immediately after a minor physical maneuver, presenting with pain and Femoral Neuropathy initially evidenced by massive quadriceps muscle fasciculations. A magnetic resonance imaging (MRI) study of the pelvic area confirmed the diagnosis, showing a hematoma secondary to a partial muscle tear. The patient was managed conservatively, and the continuous muscle activity ceased in 3 days, with progressive improvement of the pain and weakness. The recovery was complete. Femoral Neuropathy is uncommon and usually due to compression from psoas muscle mass lesions of diverse nature, including hematomas. Usually subacute, Femoral Neuropathy may present acutely in cases of large or strategically placed compressive Femoral nerve lesions, and may require surgical evacuation. The case presented herein is remarkable since the muscle hematoma appeared after a nonviolent maneuver, fasciculations were present at onset, and conservative management was sufficient for a full recovery. D 2003 Elsevier Science B.V. All rights reserved.
Hatice Rana Erdem - One of the best experts on this subject based on the ideXlab platform.
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DOI 10.3349/ymj.2007.48.5.891 Femoral Neuropathy in a Patient with Rheumatoid Arthritis
2013Co-Authors: Hakan Genc, Ozlem Balaban, Aynur Karagöz, Hatice Rana ErdemAbstract:Femoral monoNeuropathy (FMN) as an extraarticular finding of rheumatoid arthritis (RA) is a phenomenon which has not been reported previously. We report a 53-year-old female patient with RA, presenting FMN findings during the course of the disease. On examination, right quadriceps and iliopsoas muscles showed grade 3 weakness on the Medical Research Council (MRC) scale. Sensory examination revealed sensory loss in the right medial leg and thigh. Patellar tendon reflex was absent in the right side. A diagnosis of a partial right Femoral Neuropathy was confirmed using nerve conduction study and electromyography. The probable mechanism of FMN was thought to be vasculitis. Key Words: Femoral monoNeuropathy, rheumatoid arthriti
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Femoral Neuropathy in a Patient with Rheumatoid Arthritis
Yonsei Medical Journal, 2007Co-Authors: Hakan Genc, Ozlem Balaban, Aynur Karagöz, Hatice Rana ErdemAbstract:Femoral monoNeuropathy (FMN) as an extraarticular finding of rheumatoid arthritis (RA) is a phenomenon which has not been reported previously. We report a 53-year-old female patient with RA, presenting FMN findings during the course of the disease. On examination, right quadriceps and iliopsoas muscles showed grade 3 weakness on the Medical Research Council (MRC) scale. Sensory examination revealed sensory loss in the right medial leg and thigh. Patellar tendon reflex was absent in the right side. A diagnosis of a partial right Femoral Neuropathy was confirmed using nerve conduction study and electromyography. The probable mechanism of FMN was thought to be vasculitis.