ERHAN YILMAZ, Lokman KARAKURT, Erhan SERİN, Hikmet GÜZEL

Üç olguda nadir nedenlerle oluşan peroneal sinir felci

Peroneal sinir yaralanması görülen üç hastada (2 erkek, l kadın) klinik bulgular ve elektrofizyolojik çalışmalar ile sinir sıkışması tanısı kondu. Bir olguda uzun süre çömelmeye bağlı iki taraflı postural tipte sıkışma, diğer iki olguda ise tek taraflı mekanik tipte sıkışma vardı. İlk olarak, düşük ayak bileği splinti ile birlikte B vitamini verilerek konservatif tedavi uygulandı. Bir olgu konservatif tedaviyle iyileşti. İki taraflı bir olguda sağ taraf iyileşirken, sol taraf tedaviye yanıt vermedi. Üç ay sonra klinik ve elektrofizyolojik olarak düzelme saptanmayan iki hastanın iki ekstremitesine cerrahi tedavi ile dekompresyon uygulandı. İki taraflı tutulumu olan olguda cerrahi tedaviyle başarılı sonuç alındı; diyabeti olan bir hastada ise düzelme görülmedi.

Anahtar Kelimeler:

Peroneal nöropatiler, Felç, Sinir sıkışması sendromları, Peroneal sinir, Elektromiyografi, Dekompresyon, cerrahi, Ayak bileği yaralanmaları

Peroneal nerve palsy due to rare reasons: A report of three cases

Peroneal nerve entrapment was diagnosed in three patients (2 males, 1 female) by clinical and electrophysiological studies. Of these, one patient had postural bilateral involvement due to prolonged squatting, while two patients had mechanically-induced entrapment. Initially, all the patients were treated conservatively with a dropfoot splint and vitamin B. One patient responded to treatment; in one patient with bilateral involvement, right-sided peroneal nerve palsy improved. Upon detection of no clinical and electrophysiological improvement after three months of conservative treatment, surgical decompression was performed in two patients, which resulted in a successful outcome in the patient with bilateral palsy. Incomplete recovery was obtained in the other patient with diabetic polyneuropathy

Keywords:

Peroneal Neuropathies, Paralysis, Nerve Compression Syndromes, Peroneal Nerve, Electromyography, Decompression, Surgical, Ankle Injuries,

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