Bilateral Femoral Neuropathy Secondary to Unilateral Retroperitoneal Hematoma
Journal of the Korean Academy of Rehabilitation Medicine
;
: 168-172, 2001.
Article
in Korean
| WPRIM
| ID: wpr-724036
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thigh
/
Wounds, Stab
/
Action Potentials
/
Psoas Muscles
/
Muscle Weakness
/
Femoral Neuropathy
/
Abdominal Wall
/
Quadriceps Muscle
/
Femoral Nerve
/
Hematoma
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Journal of the Korean Academy of Rehabilitation Medicine
Year:
2001
Type:
Article
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