Peroneal Nerve Palsy following Ureterolithotomy ( in a patient with diabetes history ) / 대한마취과학회지

ABSTRACT

We have experience with one case of peroneal nerve palsy following ureterolithotomy in a 63-year old male patient who has suffered from diabetes and hypertension since 5 years ago. He also has suffered from pulmonary tuberculosis for 30 years. On admission, he had pain, numbness, and burning sensations in the lower extrernities. Blood pressure was 200/100 mm Hg and fasting blood glucose was 165 mg/100 ml. Urinary glucose was ++ by Klini test. Premedication was done by chloropromazine(39mg) and atropine(0. 6mg) intramuscularly. General anesthesia was begun with thiopental, pancuronium and SCC, and maintained with halothane and N2O by semi-closed circle system. Ureterolithotomy was performed with the patient in right kidney position for 3 hours and 20 minutes, Two days post-operatively, we noticed right foot-drop and limitation of dorsiflexion of the great toe. The patient recovered after physiotheraphy for 3 months. The incidence of nerve palsy is very low in patients without complications but we note that diabetes can be a factor in nerve palsy.