Left common peroneal nerve palsy caused by cross-legged sitting during epidural labor analgesia: a case report.

IF 0.8 Q3 ANESTHESIOLOGY

JA Clinical Reports Pub Date : 2024-02-21 DOI:10.1186/s40981-024-00698-0

Shunya Ogawa, Hirotsugu Kanda, Hiromichi Kurosaki, Tomoyuki Kawamata

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Abstract

Background: Nerve injury in epidural labor analgesia can occur with various potential causes. We report a rare case of left common peroneal nerve palsy after delivery caused by a prolonged period of sitting cross-legged during epidural labor.

Case report: Epidural labor analgesia in a 28-year-old primipara started at 39 weeks of gestation. She sat cross-legged to prompt delivery for approximately 4 h with a break of a few minutes every hour. She had numbness in her left lower limb and difficulty in dorsiflexion of the ankle joint that did not improve until 3 h after delivery. We made a diagnosis of left common peroneal nerve palsy. Most of the symptoms had improved at 2 months postpartum.

Conclusion: Epidural labor analgesia prevented recognition of prolonged peroneal head compression caused by sitting cross-legged. When this position is used to facilitate delivery, it should be released frequently owing to the possibility of a neurologic deficit.

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硬膜外分娩镇痛时盘腿坐姿导致左腓总神经麻痹：病例报告。

背景：硬膜外分娩镇痛中可能出现神经损伤，其潜在原因多种多样。我们报告了一例罕见的产后左腓总神经麻痹病例，其原因是在硬膜外分娩时长时间盘腿坐着：一名 28 岁的初产妇在妊娠 39 周时开始进行硬膜外分娩镇痛。她盘腿坐了大约 4 小时以促进分娩，每小时休息几分钟。她的左下肢麻木，踝关节外展困难，直到产后 3 小时才有所好转。我们诊断为左腓总神经麻痹。产后2个月时，大部分症状都得到了改善：结论：硬膜外分娩镇痛无法识别盘腿坐导致的长时间腓骨头压迫。当采用这种体位促进分娩时，由于可能出现神经功能缺损，应经常解除这种体位。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JA Clinical Reports ANESTHESIOLOGY-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： JA Clinical Reports is a companion journal to the Journal of Anesthesia (JA), the official journal of the Japanese Society of Anesthesiologists (JSA). This journal is an open access, peer-reviewed, online journal related to clinical anesthesia practices such as anesthesia management, pain management and intensive care. Case reports are very important articles from the viewpoint of education and the cultivation of scientific thinking in the field of anesthesia. However, submissions of anesthesia research and clinical reports from Japan are notably decreasing in major anesthesia journals. Therefore, the JSA has decided to launch a new journal, JA Clinical Reports, to encourage JSA members, particularly junior Japanese anesthesiologists, to publish papers in English language.