| 제목 |
Anterior femoral cutaneous neuropathy after extracorporeal membrane oxygenation: a case report |
| 소속 |
Seoul National University Hospital, Department of Rehabilitation Medicine1, Seoul National University Boramae Medical Center, Department of Rehabilitation Medicine2 |
| 저자 |
YOUHO MYONG1*, SHINHOO KIM1, SANG YOON LEE2† |
Objective: Transarterial catheterization is a widely used technique in various interventional procedures, such as coronary and peripheral angiogram, atherectomy, and intraaortic balloon insertion. The overall complication rate after transfemoral cannulation is low, of which peripheral neuropathy is even rarer. This case report describes anterior femoral cutaneous neuropathy that occurred after extracorporeal membrane oxygenation.
Methods: A thirty-one year old woman presented with hypesthesia and sharp, tingling pain in her right medial thigh and calf for three months. She recently received post-cardiac arrest ICU care due to viral endocarditis; the patient underwent a six-day course of venoarterial extracorporeal membrane oxygenation. Over the course of three months after ICU care, her symptoms aggravated. A series of careful physical examinations and electrodiagnostic studies were conducted.
Results: Initial neurological examination revealed right anteromedial thigh and lower leg allodynia and hypesthesia (Figure 1) without motor weakness. The electrodiagnostic study revealed right anterior femoral cutaneous neuropathy. A follow-up study after three months showed an improving state of the neuropathy with partial axonal loss (Table 1, Figure 2).
Discussion: Although anterior femoral cutaneous neuropathy is a rare complication after transfemoral cannulation, clinicians should remain vigilant of the symptoms, and be prepared to rule out the diagnosis. |
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Table 1. Initial and Follow-up Results of Electrodiagnostic Studies
Figure 1. Serial Change of Hypesthetic and Paresthetic Regions
Figure 2. Change of Anterior Femoral Cutaneous Nerve Conduction Waveforms
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