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Bilateral sciatic neuropathy as a complication of craniotomy performed in the sitting position: localization of nerve injury by using magnetic resonance imaging

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Abstract

Introduction

Sciatic neuropathy is a rare but serious complication following surgery performed in the sitting position.

Methods

We report a case of a 12-year-old boy who developed bilateral sciatic neuropathy after a 9-h-long craniotomy while in the sitting position.

Results

Magnetic resonance imaging for the lower extremities revealed bilateral swelling of the sciatic nerves near the ischial tuberosities.

Conclusion

A heightened awareness of sciatic nerve injury during prolonged surgery in the sitting position may make early diagnosis possible and allow prevention of further neurologic injury.

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Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, No. 201, Section 2, Shih-Pai Road, Beitou District, Taipei City, Taiwan, 11217, Republic of China

    Jia-Chi Wang, Po-Yao Chang & Tsui-Fen Yang

  2. Division of Pediatric Neurosurgery, Department of Neurology, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China

    Tai-Tong Wong & Hsin-Hung Chen

  3. School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China

    Jia-Chi Wang, Tai-Tong Wong, Hsin-Hung Chen & Po-Yao Chang

  4. Department of Physical Medicine and Rehabilitation, National Yang Ming University, Taipei, Taiwan, Republic of China

    Tsui-Fen Yang

Authors
  1. Jia-Chi Wang
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  2. Tai-Tong Wong
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  3. Hsin-Hung Chen
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  4. Po-Yao Chang
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  5. Tsui-Fen Yang
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Corresponding author

Correspondence to Tsui-Fen Yang.

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Wang, JC., Wong, TT., Chen, HH. et al. Bilateral sciatic neuropathy as a complication of craniotomy performed in the sitting position: localization of nerve injury by using magnetic resonance imaging. Childs Nerv Syst 28, 159–163 (2012). https://doi.org/10.1007/s00381-011-1597-4

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  • DOI: https://doi.org/10.1007/s00381-011-1597-4

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