Bilateral Sciatic Neuropathy associated with Rhabdomyolysis in an Immobilized Patient: A case report.

, Lee, Seung Ah; , Lim, Jae Young

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2009;33(1):127-130.

Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Korea. drlim1@snu.ac.kr

부동 환자에서 발생한 횡문근융해와 동반된 양측 좌골신경병증 -증례 보고-

이승아, 임재영

서울대학교 의과대학 분당서울대학교병원 재활의학교실

Abstract

We report an elderly woman suffering from bilateral sciatic neuropathy associated with rhabdomyolysis, identified with electrodiagnosis and hip MRI. She was found sitting in the same position following benzodiazepine intoxication for several hours. She complained of thigh pain, asymmetric hypoesthesia and weakness of both lower extremities. The electrodiagnostic study showed profound abnormal spontaneous activities on muscles innervated by sciatic nerve and no action potentials in nerve conduction study indicating bilateral sciatic neuropathy, more severely involved in the right than in the left, between gluteal region and mid thigh level. The hip MRI revealed rhabdomyolysis and inflammatory lesion around sciatic nerve between the ischial spine and 5 cm below ischial tuberosity. The possibilities of focal inflammatory neuropathy triggered by immobilization in chronic illness or vulnerable conditions were reviewed. (J Korean Acad Rehab Med 2009; 33: 127-130)

Key Words: Sciatic neuropathy, Immobilization, Rhabdomyolysis