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Symptomatic popliteal venous aneurysm causing a footdrop.

Frank Hoexum¹, Domenique M J Müller², Willem Pim van Ouwerkerk²

¹Department of Vascular Surgery, VU Medical Center, Amsterdam, The Netherlands.

Journal of Vascular Surgery Cases and Innovative Techniques

|June 3, 2024

Summary

This summary is machine-generated.

Symptomatic popliteal venous aneurysms are rare, often causing blood clots. This case highlights a rare neurologic complication, footdrop, caused by peroneal nerve compression from a popliteal venous aneurysm.

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Area of Science:

Vascular Surgery
Neurology
Case Report

Background:

Popliteal venous aneurysms are uncommon vascular malformations.
Thromboembolic events are the most frequent complication.
Neurologic deficits secondary to these aneurysms are exceptionally rare.

Observation:

A 53-year-old male presented with footdrop, a form of lower extremity neurologic deficit.
The patient had a swelling in the popliteal fossa, indicative of a saccular popliteal venous aneurysm.
The aneurysm was compressing the peroneal nerve, leading to the observed footdrop.

Findings:

Surgical intervention included aneurysmectomy and lateral venorrhaphy.
Post-operatively, the patient experienced complete recovery of lower leg muscle strength.
This demonstrates the potential for neurologic recovery after addressing the causative venous aneurysm.

Implications:

Popliteal venous aneurysms should be considered in the differential diagnosis of lower extremity neurologic deficits, especially when accompanied by popliteal fossa swelling.
Early diagnosis and surgical management can prevent long-term neurologic sequelae.
This case expands the understanding of rare presentations of popliteal venous aneurysms.