Bilateral common peroneal neuropathy due to rapid and marked weight loss after biliary surgery:A case report  

作　　者：Min Woo Oh Min Su Gu Hyun Ho Kong 

机构地区：[1]Department of Rehabilitation Medicine,Chungbuk National University Hospital,Cheongju 28644,South Korea

出　　处：《World Journal of Clinical Cases》2021年第8期1909-1915,共7页世界临床病例杂志

摘　　要：BACKGROUND The causes of peroneal neuropathy are various,but are rarely due to weight loss.Bilateral peroneal neuropathy caused by weight loss after surgery has been reported only after bariatric surgery and there were no reports associated with other abdominal surgery.In this report,we describe a case of the bilateral peroneal neuropathy that occurred due to marked weight loss after biliary surgery.CASE SUMMARY A 58-year-old male did not receive adequate nutritional support after biliary surgery,and showed a massive weight loss over a short period of time(body mass index;24.1 kg/m2 to 20.5 kg/m2 for 24 d).Then,foot drop occurred on both sides.Physical examination,electromyography(EMG)and magnetic resonance imaging studies were conducted and he was diagnosed as bilateral common peroneal neuropathy around the fibular head level.The patient was treated electrical stimulation therapy on both lower legs along with exercise therapy,and received sufficient oral nutritional support.The patient gradually recovered to his original weight,and the power of the dorsiflexor of bilateral ankles improved after conservative treatment.In addition,the follow-up EMG showed signs of improvement.CONCLUSION Any abdominal surgery that may have rapid and marked weight loss can lead to peroneal neuropathy as a complication.

关 键 词：Peroneal neuropathies Weight loss Nutritional status General surgery COMPLICATION Case report 

分 类 号：R657.4[医药卫生—外科学]