Abstract
Periferik sinir tutulumu ile ilgili klinik tablolar travma, cerrahi, postural bozukluklardan kaynaklanan sıkışma ve gerilmeye bağlı veya idiopatik olarak ortaya çıkabilmektedir. Peroneal sinir genellikle fibula başı veya boyun kısmında sıkışır ve genellikle tek taraflı etkilenir. Travmalar, herediter nöropatiler, metabolik ve sistemik hastalıklar, enfeksiyonlar, Guillane Barre sendromu, gebelik, kronik inflamatuvar demiyelinizan polinöropati gibi nedenlere bağlı olarak iki taraflı peroneal etkilenme görülebilmektedir Uzun süreli postür değişikliğine bağlı peroneal etkilenme oldukça nadirdir. Olgumuzda gastroenterit nedenli uzun süreli çömelme pozisyonunun ardından bilateral düşük ayak gelişmiş ve elektrofizyolojik testler sonucunda bilateral peroneal sinir tutulumu tespit edilmiştir. Hasta uygulanan fizyoterapi programı sonrası tam düzelme göstermiştir.
Keywords
References
- Referans1 Garland H, Moorhouse D. Compressive lesions of the external popliteal (common peroneal) nerve. Br Med J 1952;2(4799)1373–8.
- Referans2 Wilbourn AJ. AAEE case report #12: Common peroneal mononeuropathy at the fibular head. Muscle Nerve 1986;9(9):825–36.
- Referans3 Çeliker R, Alt Ekstremitelerde Tuzak Nöropatiler, Türk Fiz Tıp Rehab Derg 2009: 1; 30-4.
- Referans4 Berry H, Richardson PM. Common peroneal nerve palsy: a clinical and electrophysiological review. J Neurol Neurosurg Psychiatry 1976;39(12):1162–71.
- Referans5 Preston DC, Shapiro BE. Peroneal nerve palsy. In: Preston DC, Shapiro BE, editors. Electromyography and neuromuscular disorders: clinical-electrophysiologic correlations, 3rd ed. London (UK): Elsevier/Saunders; 2013.
- Referans6 Reif ME. Bilateral common peroneal nerve palsy secondary to prolonged squatting in natural childbirth. Birth 1988;15:100-2.
- Referans7 Akarırmak Ü. Tuzak Nöropatiler. Editörler: Beyazova M, Gökçe-Kutsal Y. Fiziksel Tıp ve Rehabilitasyon. Ankara: Güneş Kitabev, 2000; 2071-89
- Referans8 Turhan E, Huri G, Doral MN. 10.14292/totbid.dergisi.2015.80 DERLEME
- Referans9 Togrol E. Bilateral peroneal nerve palsy induced by prolonged squatting. Mil Med 2000;165(3):240-2.
- Referans10 Gürkan AKGÖL, Bahar ÇELİKBAĞ. Uzun Süre Çömelme Sonucu Oluşan Tek Taraflı Düşük Ayak Olgusu. Fırat Tıp Dergisi 2012; 17(4, ek sayı 1): 66-68.
- Referans11 Özlem Yılmaz, Hatice Bodur. Bilateral Peroneal Nerve Palsy Due to Prolonged Squatting in a Farmer. J PMR Sci 2015; 18: 40-43
- Referans12 Erhan YILMAZ, Lokman KARAKUR T, Erhan SERİN, Hikmet GÜZEL. Peroneal nerve palsy due to rare reasons: a report of three cases. Acta Orthop Traumatol Turc 2004;38(1):75-78
Abstract
Clinical manifestations of peripheral nerve involvement may occur idiopathically or due to compression and tension caused by trauma, surgery, postural disorders. The peroneal nerve is usually pinched at the fibular head or neck and is usually affected unilaterally. Bilateral peroneal involvement can be seen due to causes such as traumas, hereditary neuropathies, metabolic and systemic diseases, infections, Guillane Barré syndrome, pregnancy, chronic inflammatory demyelinating polyneuropathy. Peroneal involvement due to long-term change of posture is extremely rare. In our case, bilateral drop foot developed after prolonged squatting due to gastroenteritis and bilateral peroneal nerve involvement was detected as a result of electrophysiological tests. The patient showed complete recovery after the physiotherapy program.
References
- Referans1 Garland H, Moorhouse D. Compressive lesions of the external popliteal (common peroneal) nerve. Br Med J 1952;2(4799)1373–8.
- Referans2 Wilbourn AJ. AAEE case report #12: Common peroneal mononeuropathy at the fibular head. Muscle Nerve 1986;9(9):825–36.
- Referans3 Çeliker R, Alt Ekstremitelerde Tuzak Nöropatiler, Türk Fiz Tıp Rehab Derg 2009: 1; 30-4.
- Referans4 Berry H, Richardson PM. Common peroneal nerve palsy: a clinical and electrophysiological review. J Neurol Neurosurg Psychiatry 1976;39(12):1162–71.
- Referans5 Preston DC, Shapiro BE. Peroneal nerve palsy. In: Preston DC, Shapiro BE, editors. Electromyography and neuromuscular disorders: clinical-electrophysiologic correlations, 3rd ed. London (UK): Elsevier/Saunders; 2013.
- Referans6 Reif ME. Bilateral common peroneal nerve palsy secondary to prolonged squatting in natural childbirth. Birth 1988;15:100-2.
- Referans7 Akarırmak Ü. Tuzak Nöropatiler. Editörler: Beyazova M, Gökçe-Kutsal Y. Fiziksel Tıp ve Rehabilitasyon. Ankara: Güneş Kitabev, 2000; 2071-89
- Referans8 Turhan E, Huri G, Doral MN. 10.14292/totbid.dergisi.2015.80 DERLEME
- Referans9 Togrol E. Bilateral peroneal nerve palsy induced by prolonged squatting. Mil Med 2000;165(3):240-2.
- Referans10 Gürkan AKGÖL, Bahar ÇELİKBAĞ. Uzun Süre Çömelme Sonucu Oluşan Tek Taraflı Düşük Ayak Olgusu. Fırat Tıp Dergisi 2012; 17(4, ek sayı 1): 66-68.
- Referans11 Özlem Yılmaz, Hatice Bodur. Bilateral Peroneal Nerve Palsy Due to Prolonged Squatting in a Farmer. J PMR Sci 2015; 18: 40-43
- Referans12 Erhan YILMAZ, Lokman KARAKUR T, Erhan SERİN, Hikmet GÜZEL. Peroneal nerve palsy due to rare reasons: a report of three cases. Acta Orthop Traumatol Turc 2004;38(1):75-78
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | May 28, 2021 |
| Submission Date | December 12, 2020 |
| Published in Issue | Year 2021 Volume: 6 Issue: 1 |
Cite
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).