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Bilateral Common Peroneal Nerve Entrapment After Excessive Weight Loss: Case Report and Review of the Literature

Published:March 02, 2018DOI:https://doi.org/10.1053/j.jfas.2017.10.035

      Abstract

      We report a case of excessive weight loss causing bilateral common peroneal nerve entrapment in a 60-year-old patient. The bilateral peroneal involvement suggested a systemic cause. Excessive weight loss during a relatively short period can cause changes in the tissues surrounding the common peroneal nerve and lead to its entrapment in the peroneal tunnel. Our patient underwent successful surgical decompression with significant improvement.

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      References

        • Sevinç T.
        • Kalacı A.
        • Doğramacı Y.
        • Yanat N.A.
        Bilateral superficial peroneal nerve entrapment secondary to anorexia nervosa: a case report.
        J Brachial Plex Peripher Nerve Inj. 2008; 3: 12
        • Hollis M.H.
        • Lemay D.E.
        • Jensen M.P.
        Nerve entrapment syndromes of the lower extremity.
        (Medscape Reference)2010
        • Fabre T.
        • Piton C.
        • Andre D.
        • Lasseur E.
        • Durandeau A.
        Peroneal nerve entrapment.
        J Bone Joint Surg Am. 1998; 80: 47-53
        • Ekelund A.L.
        Bilateral nerve entrapment in the popliteal space.
        Am J Sports Med. 1990; 18: 108
        • Durmaz B.
        • Atamaz F.
        • On A.
        Bilateral common peroneal nerve palsy following cardiac surgery/Kardiyak cerrahi sonrasi bilateral komon peroneal sinir paralizi.
        Anatolian J Cardiol. 2008; 8: 313-315
        • Anselmi S.J.
        Common peroneal nerve compression.
        J Am Podiatr Med Assoc. 2006; 96: 413-417
        • Styf J.
        Entrapment of the superficial peroneal nerve: diagnosis and results of decompression.
        Bone Joint J. 1989; 71: 131-135
        • Lowdon I.M.
        Superficial peroneal nerve entrapment.
        J Bone Joint Surg Br. 1985; 67: 59-61
        • Yang L.J.
        • Gala V.C.
        • McGillicuddy J.E.
        Superficial peroneal nerve syndrome: an unusual nerve entrapment: case report.
        J Neurosurg. 2006; 104: 820-823
        • Styf J.O.
        • Morberg P.
        The superficial peroneal tunnel syndrome.
        J Bone Joint Surg Br. 1997; 79: 801-803
        • Daghino W.
        • Pasquali M.
        • Faletti C.
        Superficial peroneal nerve entrapment in a young athlete: the diagnostic contribution of magnetic resonance imaging.
        J Foot Ankle Surg. 1997; 36: 170-172
        • Kernohan J.
        • Levack B.
        • Wilson J.N.
        Entrapment of the superficial peroneal nerve. Three case reports.
        Bone Joint J. 1985; 67: 60-61
        • Banerjee T.
        • Koons D.D.
        Superficial peroneal nerve entrapment: report of two cases.
        J Neurosurg. 1981; 55: 991-992
        • Saragaglia D.
        • Farizon F.
        • Drevet J.G.
        • Butel J.
        Peroneal nerve entrapment syndrome of the front of the foot. Treatment by neurolysis: apropos of a bilateral case.
        Rev Chir Orthop Reparatrice Appar Mot. 1985; 72: 579-581
        • McAuliffe T.B.
        • Fiddian N.J.
        • Browett J.P.
        Entrapment neuropathy of the superficial peroneal nerve: a bilateral case.
        Bone Joint J. 1985; 67: 62-63
        • Kopell H.P.
        • Thompson W.A.
        Peripheral entrapment neuropathies of the lower extremity.
        N Engl J Med. 1960; 262: 56-60
        • Stack R.E.
        • Bianco A.J.
        • Maccarty C.S.
        Compression of the common peroneal nerve by ganglion cysts.
        J Bone Joint Surg Am. 1965; 47: 773-778
        • Constanty A.
        • Vodoff M.V.
        • Gilbert B.
        • Dantoine F.
        • Roche J.F.
        • Piguet C.
        • Tabaraud F.
        • de Lumley L.
        Peroneal nerve palsy in anorexia nervosa: three cases.
        Arch Pediatr. 2000; 7: 316-317
        • Lutte I.
        • Rhys C.
        • Hubert C.
        • Brion F.
        • Boland B.
        • Peeters A.
        • Van Den Bergh P.
        • Lambert M.
        Peroneal nerve palsy in anorexia nervosa.
        Acta Neurol Belg. 1997; 97: 251-254
        • Elias W.J.
        • Pouratian N.
        • Oskouian R.J.
        • Schirmer B.
        • Burns T.
        Peroneal neuropathy following successful bariatric surgery: case report and review of the literature.
        J Neurosurg. 2006; 105: 631-635
        • Katirji M.B.
        • Wilbourn A.J.
        Common peroneal mononeuropathy: a clinical and electrophysiologic study of 116 lesions.
        Neurology. 1988; 38: 1723
        • Sherman D.G.
        • Easton J.D.
        Dieting and peroneal nerve palsy.
        JAMA. 1977; 238: 230-231
        • Sotaniemi K.A.
        Slimmer's paralysis—peroneal neuropathy during weight reduction.
        J Neurol Neurosurg Psychiatry. 1984; 47: 564-566
        • Maladkar M.
        • Tekchandani C.
        • Dave U.
        Post-marketing surveillance of fixed dose combination of methylcobalamin, alpha lipoic acid, folic acid, biotin, benfotiamine & vitamin B6-nutripathy for the management of peripheral neuropathy.
        J Diabetes Mellitus. 2014; 4: 124-132
        • Ramos-Leví A.M.
        • Matías-Guiu J.A.
        • Guerrero A.
        • Sánchez-Pernaute A.
        • Rubio M.A.
        Peroneal palsy after bariatric surgery; is nerve decompression always necessary?.
        Nutr Hosp. 2013; 28: 1330-1332