Common peroneal nerve palsy following operation in the supine position

Abstract

Corresponding author Young Woong Choi Department of Anesthesiology and Pain Medicine, Korean Cancer Center Hospital, 75 Nowon-ro, Nowon-gu, Seoul 01812, Korea Tel: +82-2-2970-2161 Fax: +82-2-2970-2436 E-mail: ywchoi1123@gmail.com ORCID: https://orcid.org/0000-0002-0386-5638 Perioperative peroneal neuropathy is an uncommon complication following surgeries performed with patients positioned supine. It may be caused by various factors aside from intraoperative compression. The authors report a case of common peroneal nerve palsy in a patient who underwent total thyroidectomy with central and bilateral selective neck dissection. The patient’s body mass index was 31.3 kg/m. She was positioned supine and the operative time was 7 h. During surgery, her mean arterial pressure intermittently dropped to 50-60 mmHg for 55 min and 61-70 mmHg for 195 min. She developed common peroneal nerve palsy on postoperative day 1. Nevertheless, the patient fully recovered without any complications within 3 weeks.