Common Peroneal Nerve Entrapment Neuropathy Involving a Vein-Case Report.

NMC case report journal Pub Date : 2025-12-18 eCollection Date: 2025-01-01 DOI:10.2176/jns-nmc.2025-0243
Taisuke Yoshinaga, Kyongsong Kim, Toyohiko Isu, Juntaro Matsumoto, Yasuhiro Ito, Masanori Isobe, Hiroshi Abe
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Abstract

Compression neuropathy of the common peroneal nerve commonly occurs around the fibular head, typically caused by fibrous bands or muscle fascia. We report a unique case of a 54-year-old woman with common peroneal nerve entrapment caused by a vein. She suffered from a 6-year history of numbness and weakness in the left lower leg. Conservative treatments were ineffective, and we performed surgical treatment. Surgical neurolysis revealed a vein penetrating and compressing the common peroneal nerve; the common peroneal nerve was decompressed by coagulation and transection. The patient's symptoms resolved after the surgery. Surgeons should be aware of venous structures as potential causes of common peroneal nerve entrapment.

Abstract Image

腓总神经卡压神经病伴静脉1例报告。
腓总神经压迫性神经病常见于腓骨头周围,通常由纤维带或肌筋膜引起。我们报告一个独特的情况下,一个54岁的妇女与腓总神经卡压引起的静脉。她有6年的左下肢麻木和无力病史。保守治疗无效,行手术治疗。手术神经松解术显示静脉穿透并压迫腓总神经;腓总神经经凝血和横断减压。手术后病人的症状消失了。外科医生应该意识到静脉结构是腓总神经卡压的潜在原因。
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