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Rehabilitation Practice and Science

Translated Title

血管攝影術後併發股神經損傷：病例報告

Abstract

Femoral nerve injury is a rare complication after femoral angiography. Symptoms including quadriceps weakness and atrophy, absent or reduced knee jerk and sensory impairment along the anterior thigh and medial lower leg have been found. This leads to both muscular weakness and sensory deficit, which impairs walking and interferes with quality of life. Early identification and management of femoral nerve injury could result in better prognosis.We report on the history, diagnosis and rehabilitative outcome of a 54-year-old woman with a medical history of peripheral arterial occlusion disease. She developed significant femoral neuropathy one month after angiography. Severe neurological deficits were noted in this patient, including quadriceps paralysis and loss of sensation at the anterior aspect of the thigh. Subsequent above-knee amputation was performed due to failed conservative treatment for arterial occlusion. After about six months of intensive rehabilitation, the patient achieved clinical improvements in her functional locomotion activities. We also discuss the femoral nerve anatomy, incidence of iatrogenic femoral nerve injury, puncture-site complications in transfemoral angiography, evaluation and treatment of femoral nerve injury and our rehabilitation experience with femoral neuropathy combined with contralateral above-knee amputation.

Language

English

First Page

227

Last Page

234

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