Bilateral Femoral Neuropathy: A Rare Complication of Drug Overdose due to Prolonged Posturing in Lithotomy Position
Joint Authors
Anastasiadis, Anastasios
Tsiptsios, D.
Daud, D.
Tsamakis, K.
Rizos, E.
Cassidy, A.
Source
Case Reports in Neurological Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-11
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Bilateral femoral neuropathy is an uncommon complication of various surgical and nonsurgical procedures, such as pelvic/abdominal surgery or vaginal delivery.
Case Report.
We report a case of a 41-year-old male who was found unresponsive against the wall in a “lithotomy-type” position with both knees flexed at approximately 90 degrees and both hips flexed and externally rotated at approximately 90 and 60 degrees, respectively, 24–48 hours after a drug overdose (combination of dihydrocodeine, paracetamol, diazepam, and amitriptyline).
During his recovery, he complained of severe bilateral proximal lower limb weakness and bilateral distal lower limb pain and allodynia.
His symptoms were initially attributed to critical illness myopathy/neuropathy (CIMN).
However, thorough clinical and neurophysiological evaluation revealed that his symptoms were due to severe bilateral femoral neuropathies.
Conclusions.
To our knowledge, this is the first reported case of bilateral femoral nerve palsy due to prolonged posturing in a “lithotomy-type” position in the context of a drug overdose.
American Psychological Association (APA)
Tsiptsios, D.& Daud, D.& Tsamakis, K.& Rizos, E.& Anastasiadis, Anastasios& Cassidy, A.. 2020. Bilateral Femoral Neuropathy: A Rare Complication of Drug Overdose due to Prolonged Posturing in Lithotomy Position. Case Reports in Neurological Medicine،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148881
Modern Language Association (MLA)
Tsiptsios, D.…[et al.]. Bilateral Femoral Neuropathy: A Rare Complication of Drug Overdose due to Prolonged Posturing in Lithotomy Position. Case Reports in Neurological Medicine No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1148881
American Medical Association (AMA)
Tsiptsios, D.& Daud, D.& Tsamakis, K.& Rizos, E.& Anastasiadis, Anastasios& Cassidy, A.. Bilateral Femoral Neuropathy: A Rare Complication of Drug Overdose due to Prolonged Posturing in Lithotomy Position. Case Reports in Neurological Medicine. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148881
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148881