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KMID : 1147920200030020052
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Medical Biological Science and Engineering
2020 Volume.3 No. 2 p.52 ~ p.55
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Common peroneal nerve palsy following operation in the supine position
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Lee Su-Nam
Choi Young-Woong
Han Sang-Hyuk
Choi In-Sung
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Abstract
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Perioperative peroneal neuropathy is an uncommon complication following surgeries performed with patients positioned supine. It may be caused by various factors aside from intraoperative compression. The authors report a case of common peroneal nerve palsy in a patient who underwent total thyroidectomy with central and bilateral selective neck dissection. The patient’s body mass index was 31.3 kg/m2. She was positioned supine and the operative time was 7 h. During surgery, her mean arterial pressure intermittently dropped to 50-60 mmHg for 55 min and 61-70 mmHg for 195 min. She developed common peroneal nerve palsy on postoperative day 1. Nevertheless, the patient fully recovered without any complications within 3 weeks.
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KEYWORD
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Common peroneal nerve palsy, Hypotension, Supine position, Total thyroidectomy
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