Femoral neuropathy following retroperitoneal hemorrhage

Case series and review of the literature

Shane S. Parmer, Jeffrey P. Carpenter, Ronald M. Fairman, Omaida C Velazquez, Marc E. Mitchell

Research output: Contribution to journalArticle

48 Citations (Scopus)

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 languageEnglish
Pages (from-to)536-540
Number of pages5
JournalAnnals of Vascular Surgery
Volume20
Issue number4
DOIs
StatePublished - Jul 1 2006
Externally publishedYes

Fingerprint

Femoral Neuropathy
Hematoma
Hemorrhage
Femoral Nerve
Surgical Decompression
Paralysis
Platelet Aggregation Inhibitors
Disease Susceptibility
Anticoagulants
Wounds and Injuries
Therapeutics

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 journalArticle

Parmer, Shane S. ; Carpenter, Jeffrey P. ; Fairman, Ronald M. ; Velazquez, Omaida C ; Mitchell, Marc E. / Femoral neuropathy following retroperitoneal hemorrhage : Case series and review of the literature. In: Annals of Vascular Surgery. 2006 ; Vol. 20, No. 4. pp. 536-540.
@article{2ff18bf6a7f14f738ddd65380d8f7eb8,
title = "Femoral neuropathy following retroperitoneal hemorrhage: Case series and review of the literature",
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.",
author = "Parmer, {Shane S.} and Carpenter, {Jeffrey P.} and Fairman, {Ronald M.} and Velazquez, {Omaida C} and Mitchell, {Marc E.}",
year = "2006",
month = "7",
day = "1",
doi = "10.1007/s10016-006-9059-2",
language = "English",
volume = "20",
pages = "536--540",
journal = "Annals of Vascular Surgery",
issn = "0890-5096",
publisher = "Elsevier Inc.",
number = "4",

}

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 -