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KMID : 0388720110180040259
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Journal of Korean Society of Spine Surgery
2011 Volume.18 No. 4 p.259 ~ p.262
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Acute Sciatic Nerve Palsy after Sleeping in a Sitting Position -Case Report-
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Ha Dae-Ho
Oh Sung-Kyun
Kim Yu-Mi
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Abstract
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Study Design: A case report.
Objective: We wanted to present the clinical manifestation and imaging findings of a rare case of acute sciatic nerve palsy with a foot drop similar to lumbar disc herniation developed after sleeping for 8 hours in a sitting position in inebriated condition.
Summary of Literature Review: Sciatic nerve palsy as a complication from being operated in a sitting position have been reported, but here have not been any reported cases of after-sleep sciatic nerve palsy.
Study Subject and Methods: Sixty eight year old male admitted to hospital due to acute onset of right foot drop, subsequent walking difficulty, and numbness of the right calf and foot. Symptoms began after 8 hours of sleeping in a sitting position. Pelvic MRI exam revealed sciatic neuropathy, and also electrophysiological exam revealed sciatic nerve palsy.
Results: The subject patient’s conditions started improving after 6 weeks and he was able to walk again on his own.
Conclusion: Sciatic nerve injury by prolonged pressure around the buttocks or posterior thighs, albeit rare, can develop and may cause foot drop, parethesia and sciatica.
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KEYWORD
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Sciatic neuropathy, Foot drop, Sitting position, Acute sciatic nerve palsy
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