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Monomelic Ischemic Neuropathy of the Tibial and Peroneal Nerve After Onyx Embolization of Vasa Nervorum Supplying a Surgically Excluded Popliteal Artery Aneurysm

  • Arash NajafiEmail author
  • Philippe Aubert
  • Christoph Binkert
Case Report
  • 11 Downloads

Abstract

Ischemic neuropathy is an exceedingly rare complication after peripheral artery embolization. We report a case of ischemic damage to the tibial and peroneal nerve after embolization of the vasa nervorum that served as feeding collaterals to a surgically excluded popliteal artery aneurysm.

Keywords

Embolization Vasa nervorum Popliteal artery aneurysm Nerve ischemia Ischemic neuropathy 

Notes

Funding

The corresponding author receives funding from Philips for part-time (20%) dedicated research time.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed Consent

For this type of study, formal institutional review board consent is not required. Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Ugalde V, Rosen BS. Ischemic peripheral neuropathy. Phys Med Rehabil Clin N Am. 2001;12(2):365–80.CrossRefGoogle Scholar
  2. 2.
    Metson R, Hanson DG. Bilateral facial nerve paralysis following arterial embolization for epistaxis. Otolaryngol Head Neck Surg. 1983;91(3):299–303.CrossRefGoogle Scholar
  3. 3.
    Chan HH, Asadi H, Dowling R, Hardy TG, Mitchell PJ. Facial nerve injury as a complication of endovascular treatment for cavernous dural arteriovenous fistula. Orbit. 2014;33(6):462–4.CrossRefGoogle Scholar
  4. 4.
    Tawfik KO, Harmon JJ, Walters Z, Samy R, de Alarcon A, Stevens SM, et al. Facial palsy following embolization of a juvenile nasopharyngeal angiofibroma. Ann Otol Rhinol Laryngol. 2018;127(5):344–8.CrossRefGoogle Scholar
  5. 5.
    Haw LE, Md Daud MK. Facial nerve palsy after transarterial embolization of dural arteriovenous fistula. Egypt J Ear Nose Throat Allied Sci. 2016.  https://doi.org/10.1016/j.ejenta.2016.11.002.3.Google Scholar
  6. 6.
    Forester ND, Parry D, Kessel D, Robertson I, Patel J, Scott DJ. Ischaemic sciatic neuropathy: an important complication of embolisation of a type II endoleak. Eur J Vasc Endovasc Surg. 2002;24(5):462–3.CrossRefGoogle Scholar
  7. 7.
    Teare J, Evans E, Belli A, Wendler R. Sciatic nerve ischaemia after iliac artery occlusion balloon catheter placement for placenta percreta. Int J Obstet Anesth. 2014;23(2):178–81.CrossRefGoogle Scholar
  8. 8.
    Kwok PC, Chung TK, Chong LC, Chan SC, Wong WK, Chan MK, et al. Neurologic injury after endovascular stent-graft and bilateral internal iliac artery embolization for infrarenal abdominal aortic aneurysm. J Vasc Interv Radiol. 2001;12(6):761–3.CrossRefGoogle Scholar
  9. 9.
    Rohilla M, Singh P, Kaur J, Prasad GR, Jain V, Lal A. Uterine necrosis and lumbosacral-plexopathy following pelvic vessel embolization for postpartum haemorrhage: report of two cases and review of literature. Arch Gynecol Obstet. 2014;290(4):819–23.CrossRefGoogle Scholar
  10. 10.
    Drees C, Wilbourn AJ, Stevens GH. Main trunk tibial neuropathies. Neurology. 2002;59(7):1082–4.CrossRefGoogle Scholar
  11. 11.
    Sprowson AP, Rankin K, Shand JE, Ferrier G. Common peroneal and posterior tibial ischemic nerve damage, a rare cause. Foot Ankle Surg. 2010;16(2):e16–7.CrossRefGoogle Scholar
  12. 12.
    Jeon S, Kim DY, Shim DJ, Kim MW. Common peroneal neuropathy with anterior tibial artery occlusion: a case report. Ann Rehabil Med. 2017;41(4):715–9.CrossRefGoogle Scholar
  13. 13.
    Mathis S, Balaboi I, Nocon C, Marsac E, Neau JP. Tibial ischemic neuropathy as an unusual complication of interventional radiology. J Clin Neurosci. 2010;17(10):1353–4.CrossRefGoogle Scholar
  14. 14.
    Kadiyala RK, Ramirez A, Taylor AE, Saltzman CL, Cassell MD. The blood supply of the common peroneal nerve in the popliteal fossa. J Bone Joint Surg Br. 2005;87(3):337–42.CrossRefGoogle Scholar
  15. 15.
    Ersozlu S, Ozulku M, Yildirim E, Tandogan R. Common peroneal nerve palsy from an untreated popliteal pseudoaneurysm after penetrating injury. J Vasc Surg. 2007;45(2):408–10.CrossRefGoogle Scholar
  16. 16.
    Onan B, Onan IS, Guner Y, Yeniterzi M. Peroneal nerve palsy caused by popliteal pseudoaneurysm in a child with hereditary multiple exostosis. Ann Vasc Surg. 2014;28(4):1037.e5–9.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2019

Authors and Affiliations

  1. 1.Department of Radiology and Nuclear MedicineCanton Hospital WinterthurWinterthurSwitzerland

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