CASE REPORT
Year : 2016  |  Volume : 10  |  Issue : 4  |  Page : 462-464

Peroneal nerve palsy after compression stockings application


Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University, Gimhae, Korea

Correspondence Address:
Prof. Won Joo Choe
Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University, Gimhae
Korea
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.177328

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Peroneal nerve palsy can be caused by various etiology. We report unilateral peroneal nerve palsy after compression stockings application. A 64-year-old man underwent off-pump coronary bypass graft. Surgeon did not use saphenous vein for the bypass graft. Sedation was stopped after 3 h postoperative. After 16 h, for prophylaxis of deep vein thrombosis, knee-high elastic stocking was applied. After 1 h, he took off right stocking because of numbness but left stocking was kept. After 24 h postoperative, (8 h after stocking application) patient complained suddenly left foot drop. Manual muscle test revealed 0/5 of ankle dorsiflexion, ankle eversion, and toe extension. Sensory was decreased to 70% in lower half of anterolateral aspect of tibia, foot dorsum, and toes. Foot drop and sensory abnormality decreased in 3 weeks. Cardiac surgery patients already have many risk factors for peripheral neuropathy. Clinicians should be careful when applying stockings on those patients.


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