Incidence of acute femoral neuropathy following renal transplantation

Khema R Sharma, Jonathan Cross, Fernando Santiago, D. Ram Ayyar, George W Burke

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

Background: Case reports exist of femoral neuropathy following renal transplantation (RTSP) with possible pathophysiology, including direct compression and nerve ischemia. However, the occurrence of acute femoral neuropathy (AFN) following RTSP has not been studied prospectively. Objective: To determine the occurrence of AFN following RTSP. Methods: We prospectively studied the occurrence of AFN following RTSP from June 1, 1998, to October 31, 1999. A total of 184 RTSPs were performed during this period. All the patients had end-stage renal failure and had effective hemodialysis before RTSP. All patients with AFN underwent neurologic examination, nerve conduction and electromyographic studies (5 to 7 days after the onset of symptoms), and magnetic resonance imaging or computed tomography of pelvis and lumbosacral spine within 24 hours of onset of symptoms. Results: Four (2.2%) of 184 patients developed AFN (ipsilateral to the RTSP surgery) postoperatively between 24 (3 patients) and 48 hours. All the patients achieved good renal function after RTSP. All the patients had excellent recovery of motor function in 4 to 9 months. Conclusion: We believe that AFN following RTSP is an uncommon (2.2%) complication from which patients have an excellent chance of recovery.

Original languageEnglish
Pages (from-to)541-545
Number of pages5
JournalArchives of Neurology
Volume59
Issue number4
StatePublished - Apr 18 2002

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Femoral Neuropathy
Kidney Transplantation
Incidence
Transplantation
Neural Conduction
Recovery of Function
Neurologic Examination
Pelvis
Chronic Kidney Failure
Renal Dialysis
Spine
Ischemia
Tomography
Magnetic Resonance Imaging
Kidney

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Incidence of acute femoral neuropathy following renal transplantation. / Sharma, Khema R; Cross, Jonathan; Santiago, Fernando; Ayyar, D. Ram; Burke, George W.

In: Archives of Neurology, Vol. 59, No. 4, 18.04.2002, p. 541-545.

Research output: Contribution to journalArticle

Sharma, KR, Cross, J, Santiago, F, Ayyar, DR & Burke, GW 2002, 'Incidence of acute femoral neuropathy following renal transplantation', Archives of Neurology, vol. 59, no. 4, pp. 541-545.
Sharma, Khema R ; Cross, Jonathan ; Santiago, Fernando ; Ayyar, D. Ram ; Burke, George W. / Incidence of acute femoral neuropathy following renal transplantation. In: Archives of Neurology. 2002 ; Vol. 59, No. 4. pp. 541-545.
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