Abstract
A man aged 65 receiving low-dose anticoagulant therapy for a previous myocardial infarction suddenly developed a bilateral femoral nerve palsy. An abdominal CT scan showed small hemorrhages in both iliac muscles with consequent compression of the femoral nerves. The case is reported for its exceptional bilaterality.
Sommario
In un uomo di 65 anni, sottoposto a terapia anticoagulante a basso dosaggio per un pregresso infarto miocardico, si è bruscamente instaurata una paralisi bilaterale del nervo femorale. Questa, mediante una TAC addominale, è risultata attribuibile a piccole emorragie nell'interno di ambedue i muscoli iliaci con conseguente compressione dei due nervi femorali. Il caso viene descritto per la rara bilateralità del quadro clinico.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Augustin P., Daluzeau N., Dujardin M., Clement O., Denis P.:Hématome du muscle pyramidal complication d'un traitement anti-coagulant. Revue Neurologiche 140, 6–7, 443–445, 1984.
Biemond A.:Femoral neuropathy. InVinken-Bruyn “Handbook of Clinical Neurology, vol. 8, North-Holland, Amsterdam, 303–310, 1970.
Brantigan J.W., Owens M.L., Moody F.G.:Femoral neuropathy complicating anticoagulant therapy Am. J. Surg. 132:108, 1976.
Chiu Wu Shung:The syndrome of retroperitoneal hemorrhage and lumbar plexus neuropathy during anticoagulant therapy. Southern Med. J. 69: 5, 595–599, 1976.
Goodfellow J., Fearn C.B., Matthews J.M.:Iliacus hematoma: a common complication of haemophilia. J. Bone Jt Surg, 49, 748, 1967.
Nobel W., Marks S.C., Kubik S.:The anatomical basis for femoral nerve palsy following iliacus hematoma. J. Neurosurg 52, 533–540, 1980.
Siemone J.F., Robinson F., Rothman S.L.G., Jaffe C.C.:Computerized tomographic demonstration of a retroperitoneal hematoma causing femoral neuropathy: report of two cases. J. Neurosurg 47, 946–948, 1977.
Storen E.J.:Bilateral iliacus haematoma with femoral nerve palsy complicating anticoagulant therapy. Acta Chir Scand 144:181–183, 1978.
Uncini A., Tonali P., Falappa P., Danza F.M.:Femoral neuropathy from iliac muscle hematoma induced by oral anticoagulation therapy. J. Neurol 226: 137–141, 1981.
Zarranz J.J., Salisachs P.:Femoral neuropathy due to compression by retroperitoneal haemorrhage: a modern evaluation. J. Neurol. Sci. 43:479–482, 1979.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Barontini, F., Macucci, M. Simultaneous femoral nerve palsy due to hemorrhage in both iliac muscles. Ital J Neuro Sci 7, 463–465 (1986). https://doi.org/10.1007/BF02283026
Issue Date:
DOI: https://doi.org/10.1007/BF02283026