Femoral Neuropathy Secondary to Autosomal Dominant Polycystic Kidney Disease: A Case Report
Compressive femoral neuropathy is a disabling condition accompanied by difficulty in hip flexion and knee extension. It may result from retroperitoneal hematoma or bleeding, or from complications associated with pelvic, hip surgery, and renal transplants. A 55-year-old female with autosomal dominant...
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Format: | Article |
Language: | English |
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Korean Academy of Rehabilitation Medicine
2018-06-01
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Series: | Annals of Rehabilitation Medicine |
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Online Access: | http://www.e-arm.org/upload/pdf/arm-2018-42-3-488.pdf |
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author | Jeehyun Yoo Kil-Byung Lim Hong-Jae Lee Jiyong Kim Eun-Cheol You Joongmo Kang |
author_facet | Jeehyun Yoo Kil-Byung Lim Hong-Jae Lee Jiyong Kim Eun-Cheol You Joongmo Kang |
author_sort | Jeehyun Yoo |
collection | DOAJ |
description | Compressive femoral neuropathy is a disabling condition accompanied by difficulty in hip flexion and knee extension. It may result from retroperitoneal hematoma or bleeding, or from complications associated with pelvic, hip surgery, and renal transplants. A 55-year-old female with autosomal dominant polycystic kidney disease presented with proximal muscle weakness in lower extremities. The patient experienced recurrent renal cyst infection, with aggravated weakness during each event. Electromyography and nerve conduction study revealed bilateral femoral neuropathy. Computed tomography and magnetic resonance images were added to further identify the cause. As a result, a diagnosis of femoral neuropathy caused by enlarged polycystic kidney was made. Cyst infection was managed with antibiotics. Renal function was maintained by frequent regular hemodialysis. While avoiding activities that may increase abdominal pressure, rehabilitation exercises were provided. Motor strength in hip flexion and knee extension improved, and was confirmed via electrodiagnostic studies. |
first_indexed | 2024-03-12T05:47:24Z |
format | Article |
id | doaj.art-57317912e580448285260580cfe0d2df |
institution | Directory Open Access Journal |
issn | 2234-0645 2234-0653 |
language | English |
last_indexed | 2024-03-12T05:47:24Z |
publishDate | 2018-06-01 |
publisher | Korean Academy of Rehabilitation Medicine |
record_format | Article |
series | Annals of Rehabilitation Medicine |
spelling | doaj.art-57317912e580448285260580cfe0d2df2023-09-03T05:29:42ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532018-06-0142348849310.5535/arm.2018.42.3.4884007Femoral Neuropathy Secondary to Autosomal Dominant Polycystic Kidney Disease: A Case ReportJeehyun YooKil-Byung LimHong-Jae LeeJiyong KimEun-Cheol YouJoongmo KangCompressive femoral neuropathy is a disabling condition accompanied by difficulty in hip flexion and knee extension. It may result from retroperitoneal hematoma or bleeding, or from complications associated with pelvic, hip surgery, and renal transplants. A 55-year-old female with autosomal dominant polycystic kidney disease presented with proximal muscle weakness in lower extremities. The patient experienced recurrent renal cyst infection, with aggravated weakness during each event. Electromyography and nerve conduction study revealed bilateral femoral neuropathy. Computed tomography and magnetic resonance images were added to further identify the cause. As a result, a diagnosis of femoral neuropathy caused by enlarged polycystic kidney was made. Cyst infection was managed with antibiotics. Renal function was maintained by frequent regular hemodialysis. While avoiding activities that may increase abdominal pressure, rehabilitation exercises were provided. Motor strength in hip flexion and knee extension improved, and was confirmed via electrodiagnostic studies.http://www.e-arm.org/upload/pdf/arm-2018-42-3-488.pdfFemoral neuropathyAutosomal dominant polycystic kidneyPolycystic kidney diseases |
spellingShingle | Jeehyun Yoo Kil-Byung Lim Hong-Jae Lee Jiyong Kim Eun-Cheol You Joongmo Kang Femoral Neuropathy Secondary to Autosomal Dominant Polycystic Kidney Disease: A Case Report Annals of Rehabilitation Medicine Femoral neuropathy Autosomal dominant polycystic kidney Polycystic kidney diseases |
title | Femoral Neuropathy Secondary to Autosomal Dominant Polycystic Kidney Disease: A Case Report |
title_full | Femoral Neuropathy Secondary to Autosomal Dominant Polycystic Kidney Disease: A Case Report |
title_fullStr | Femoral Neuropathy Secondary to Autosomal Dominant Polycystic Kidney Disease: A Case Report |
title_full_unstemmed | Femoral Neuropathy Secondary to Autosomal Dominant Polycystic Kidney Disease: A Case Report |
title_short | Femoral Neuropathy Secondary to Autosomal Dominant Polycystic Kidney Disease: A Case Report |
title_sort | femoral neuropathy secondary to autosomal dominant polycystic kidney disease a case report |
topic | Femoral neuropathy Autosomal dominant polycystic kidney Polycystic kidney diseases |
url | http://www.e-arm.org/upload/pdf/arm-2018-42-3-488.pdf |
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