WMJ : official publication of the State Medical Society of Wisconsin · 2025
Rhabdomyolysis-Induced Unilateral Sciatic Neuropathy: A Case Study and Clinical-Anatomic Review.
СтатьяКлинический случайОбзорНазвание и аннотация: Перевод в очереди
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Hora Nicholas J, Chukwudelunzu Felix E
Аннотация
INTRODUCTION: Rhabdomyolysis is a common but complex medical condition that typically presents with asymptomatic muscle enzyme elevation and follows a benign course. Cases of rhabdomyolysis associated with mononeuropathy, mononeuropathy multiplex, and peripheral neuropathy are uncommon.
CASE PRESENTATION: We present the case of a 28-year-old man with focal weakness of the left leg that developed after he fell to the floor and was immobilized on his left side for a prolonged length of time (ie, 6-8 hours). Further evaluation revealed rhabdomyolysis associated with unilateral sciatic neuropathy but no evidence of compartment syndrome.
DISCUSSION: Severe cases of rhabdomyolysis, with or without compartment syndrome, can result in compressive neuropathies. We provide a detailed anatomic description of the sciatic nerve and review its associated clinical syndromes.
CONCLUSIONS: In cases of rhabdomyolysis associated with focal limb weakness that follows a myotomal distribution, compressive mononeuropathy should be considered in the differential diagnosis.
CASE PRESENTATION: We present the case of a 28-year-old man with focal weakness of the left leg that developed after he fell to the floor and was immobilized on his left side for a prolonged length of time (ie, 6-8 hours). Further evaluation revealed rhabdomyolysis associated with unilateral sciatic neuropathy but no evidence of compartment syndrome.
DISCUSSION: Severe cases of rhabdomyolysis, with or without compartment syndrome, can result in compressive neuropathies. We provide a detailed anatomic description of the sciatic nerve and review its associated clinical syndromes.
CONCLUSIONS: In cases of rhabdomyolysis associated with focal limb weakness that follows a myotomal distribution, compressive mononeuropathy should be considered in the differential diagnosis.