| Bilateral Sciatic Nerve Palsy: A New Presentation of Toilet Bowl Neuropathy. | |
| | |
MedLine Citation:
|
PMID: 20580878 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Background: Presentations of lower extremity compression palsies are rare and exist only in case reports. The true incidence of emergency department (ED) presentations of bilateral sciatic nerve palsy, "toilet bowl neuropathy," is unknown. The following is a case of a 28-year-old active duty Navy woman who presented to our ED via ambulance with bilateral sciatic nerve palsy from prolonged immobility. Objectives: This discussion reviews the historical precedence for the diagnosis and details the work-up and prognosis. Case Report: The patient presented complaining of bilateral lower extremity swelling, numbness, and an inability to walk after a prolonged, medication-facilitated sleep in an unusual position. She had significant weakness on examination and was admitted for further evaluation and care. Specialized neurologic studies were consistent with bilateral sciatic nerve palsy. Conclusion: Bilateral sciatic nerve palsy is an uncommon cause of lower extremity weakness. In the ED, other diagnoses such as Guillain-Barré syndrome, cauda equina, disk herniation, and gluteal compartment syndrome should be considered initially. The diagnosis of toilet bowl neuropathy, however, is dependent on obtaining an accurate history. This case report adds another perspective to the literature on sciatic nerve palsy recognition, diagnosis, and prognosis. |
| | |
Authors:
|
Lt Elizabeth A Dubil; Maj James M Dahle; Michael D Owens |
Related Documents
:
|
11346028 - Unusual causes of hemifacial spasm. 9061528 - Neurofibromas of digital nerves. 21430108 - Fatal mycotic aneurysms due to scedosporium and pseudallescheria infection. 19886118 - Herpes zoster brachial plexopathy with predominant radial nerve palsy. 15717188 - Non-traumatic acute myelopathy due to cervical disc herniation in contiguous two-level ... 2399288 - Addiction, helplessness, and narcissistic rage. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2010-5-22 |
Journal Detail:
|
Title: The Journal of emergency medicine Volume: - ISSN: 0736-4679 ISO Abbreviation: - Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-6-28 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Published by Elsevier Inc. |
Affiliation:
|
Department of Emergency Medicine, Portsmouth Naval Medical Center, Portsmouth, Virginia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Rapid Progression of Wellens Syndrome in the Emergency Department.
Next Document: Traumatic hemobilia without liver parenchymal injury due to blunt trauma.