Paralysis Immediately after Surgical Decompression for Common Peroneal Nerve Entrapment
Rinko Kokubo1, Kyongsong Kim1, Daijiro Morimoto2
1Department of Neurosurgery, Nippon Medical School Chiba Hokusoh Hospital.
Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
|January 27, 2022
Summary
A rare case of leg paralysis after common peroneal nerve (C-PN) decompression surgery highlights the risk of nerve compression from deep sutures. Early detection and release of the suture led to complete recovery, emphasizing careful surgical technique.
Area of Science:
- Neurology
- Surgical Innovation
Background:
- Common peroneal nerve (C-PN) entrapment neuropathy is a frequent cause of leg dysfunction.
- While C-PN decompression surgery is minimally invasive, potential neurological complications exist.
Observation:
- An 85-year-old male experienced progressive leg paralysis immediately following C-PN decompression surgery.
- Surgical re-exploration revealed a subcutaneous suture compressing the C-PN, causing the paralysis.
Findings:
- Release of the compressive suture resulted in immediate improvement of the patient's paralysis.
- Complete resolution of neurological deficits was achieved after suture removal and confirmation of no further nerve compression.
Implications:
- This case underscores the risk of iatrogenic C-PN palsy due to deep suturing in the superficial subcutaneous layer.
- Careful surgical technique and vigilant postoperative monitoring are crucial for successful C-PN decompression outcomes.
