Multiple locations of nerve compression: an unusual cause of persistent lower limb paresthesia.

doi:10.1053/j.jfas.2014.06.013

Paper

Multiple locations of nerve compression: an unusual cause of persistent lower limb paresthesia.

Published Nov 1, 2014 · C. Ang, L. Foo

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

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13

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Abstract

A paucity of appreciation exists that the "double crush" phenomenon can account for persistent leg symptoms even after spinal neural decompression surgery. We present an unusual case of multiple locations of nerve compression causing persistent lower limb paresthesia in a 40-year old male patient. The patient's lower limb paresthesia was persistent after an initial spinal surgery to treat spinal lateral recess stenosis thought to be responsible for the symptoms. It was later discovered that he had peroneal muscle herniations that had caused superficial peroneal nerve entrapments at 2 separate locations. The patient obtained much symptomatic relief after decompression of the peripheral nerve. The "double crush" phenomenon and multiple levels of nerve compression should be considered when evaluating lower limb neurogenic symptoms, especially after spinal nerve root surgery.

Case Report

Study Snapshot

Multiple locations of nerve compression can cause persistent lower limb paresthesia, especially after spinal nerve root surgery.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

Multiple locations of nerve compression: an unusual cause of persistent lower limb paresthesia.

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