Abstract
Femoral neuropathy due to retroperitoneal hematoma has been infrequently described in the literature. While occasionally due to trauma, it has been most commonly reported in association with various bleeding diatheses and therapeutic anticoagulation. As the indications for the use of anticoagulants and antiplatelet agents increase, associated hemorrhagic complications will likely also increase. The management of retroperitoneal hematoma with consequent femoral nerve palsy remains controversial. We present a series of four cases of femoral nerve palsy due to retroperitoneal hematoma managed by surgical decompression. Hematoma evacuation at the time of the development of femoral neuropathy results in immediate benefit, with greater likelihood of a return to pre-event neurological status. Delays in operative treatment, despite the presence of a neurological deficit, may lead to significant and prolonged neurological dysfunction. Surgical decompression should be highly considered in all patients who develop femoral neuropathy from a retroperitoneal hematoma.
| Original language | English |
|---|---|
| Pages (from-to) | 536-540 |
| Number of pages | 5 |
| Journal | Annals of Vascular Surgery |
| Volume | 20 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jul 1 2006 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Femoral neuropathy following retroperitoneal hemorrhage : Case series and review of the literature. / Parmer, Shane S.; Carpenter, Jeffrey P.; Fairman, Ronald M.; Velazquez, Omaida C; Mitchell, Marc E.
In: Annals of Vascular Surgery, Vol. 20, No. 4, 01.07.2006, p. 536-540.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Femoral neuropathy following retroperitoneal hemorrhage
T2 - Case series and review of the literature
AU - Parmer, Shane S.
AU - Carpenter, Jeffrey P.
AU - Fairman, Ronald M.
AU - Velazquez, Omaida C
AU - Mitchell, Marc E.
PY - 2006/7/1
Y1 - 2006/7/1
N2 - Femoral neuropathy due to retroperitoneal hematoma has been infrequently described in the literature. While occasionally due to trauma, it has been most commonly reported in association with various bleeding diatheses and therapeutic anticoagulation. As the indications for the use of anticoagulants and antiplatelet agents increase, associated hemorrhagic complications will likely also increase. The management of retroperitoneal hematoma with consequent femoral nerve palsy remains controversial. We present a series of four cases of femoral nerve palsy due to retroperitoneal hematoma managed by surgical decompression. Hematoma evacuation at the time of the development of femoral neuropathy results in immediate benefit, with greater likelihood of a return to pre-event neurological status. Delays in operative treatment, despite the presence of a neurological deficit, may lead to significant and prolonged neurological dysfunction. Surgical decompression should be highly considered in all patients who develop femoral neuropathy from a retroperitoneal hematoma.
AB - Femoral neuropathy due to retroperitoneal hematoma has been infrequently described in the literature. While occasionally due to trauma, it has been most commonly reported in association with various bleeding diatheses and therapeutic anticoagulation. As the indications for the use of anticoagulants and antiplatelet agents increase, associated hemorrhagic complications will likely also increase. The management of retroperitoneal hematoma with consequent femoral nerve palsy remains controversial. We present a series of four cases of femoral nerve palsy due to retroperitoneal hematoma managed by surgical decompression. Hematoma evacuation at the time of the development of femoral neuropathy results in immediate benefit, with greater likelihood of a return to pre-event neurological status. Delays in operative treatment, despite the presence of a neurological deficit, may lead to significant and prolonged neurological dysfunction. Surgical decompression should be highly considered in all patients who develop femoral neuropathy from a retroperitoneal hematoma.
UR - http://www.scopus.com/inward/record.url?scp=33748630251&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33748630251&partnerID=8YFLogxK
U2 - 10.1007/s10016-006-9059-2
DO - 10.1007/s10016-006-9059-2
M3 - Article
VL - 20
SP - 536
EP - 540
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
SN - 0890-5096
IS - 4
ER -