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Journal of the Korean Academy of Rehabilitation Medicine 2001;25(1):168-172.
Bilateral Femoral Neuropathy Secondary to Unilateral Retroperitoneal Hematoma.
Lee, Soo Hyun , Kim, Ki Hwan , Jo, Geun Yeol
Department of Rehabilitation Medicine, Masan Samsung Hospital, Sungkyunkwan University School of Medicine.
일측성 후복막강 혈종에 의한 양측성 대퇴신경병증 ⁣증례 보고⁣
이수현, 김기환, 조근열
성균관대학교 의과대학 마산삼성병원 재활의학과
Abstract

The location of pelvic portion of the femoral nerve between the iliacus and psoas muscles makes the nerve particularly vulnerable in hemorrhage within iliacus. We report a uncommon case of bilateral femoral neuropathy resulting from unilateral retroperitoneal hematoma. A 28-year-old man developed zero-trace grade of muscular weakness on both knee extensor muscles, numbness over bilateral anteromedial thighs and medial lower legs, tenderness of both hip adductor muscles after stab wound at left abdominal region. Abdominal computerized tomographic finding showed hematoma of left psoas muscles. Electromyographic examination revealed no motor unit action potentials in both iliopsoas, vastus medialis and adductor longus muscles. Nerve conduction study noted no compound motor action potentials of both femoral nerves. The fascial walls and laminae of the pouches in the lower abdominal wall tend to reinforce the rigidity of the fibrous arch over the femoral nerve in the intermuscular groove. This neuropathy is suggested, when the pouches are filled with blood, would further increase pressure on the subjacent nerves, especially bilateral femoral nerves.

Key Words: Bilateral femoral neuropathy, Unilateral retroperitoneal hematoma


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