Spontaneous Non-Traumatic Anterior Compartment Syndrome with Peroneal Neuropathy and Favorable Outcome
| Autor: | P S Babyn, J Vajsar, A E Sloane, E G Murphy, R M Laxer |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
Foot drop Neural Conduction Electromyography Nerve conduction velocity Tibialis anterior muscle Humans Medicine medicine.diagnostic_test business.industry Peripheral Nervous System Diseases Peroneal Nerve General Medicine Prognosis Compound muscle action potential Surgery Anterior Compartment Syndrome Child Preschool Anesthesia Pediatrics Perinatology and Child Health Female Neurology (clinical) medicine.symptom business Extensor digitorum brevis muscle |
| Zdroj: | Neuropediatrics. 25:268-270 |
| ISSN: | 1439-1899 0174-304X |
| Popis: | We report a girl who spontaneously developed an anterior compartment syndrome with an associated deep peroneal neuropathy. Initial nerve conduction studies (NCS) recorded from the extensor digitorum brevis muscle demonstrated prolongation of the distal latency to 7.8 msec (normal contralateral side, 3.6 msec), and reduction in amplitude of the compound muscle action potential to 0.1 mV (normal contralateral side, 9.9 mV). Electromyography of the tibialis anterior muscle showed an absence of motor unit potentials. Serum creatine kinase was markedly elevated to 12,769 IU. Computed tomography (CT) showed evidence of necrotic muscle. One month later, the foot drop, repeat NCS, and CT demonstrated a significant improvement with conservative management. |
| Databáze: | OpenAIRE |
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