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KMID : 0860920110130010073
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2011 Volume.13 No. 1 p.73 ~ p.76
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Bilateral Femoral Neuropathy in Carbon Monoxide Poisoning-A Case Report -
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Jeong Hyung-Jun
Kim Chang-Hwan
Kim Myeong-Ok
Jung Han-Young
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Abstract
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Simultaneous bilateral femoral neuropathies are very rare and have been reported as results of pelvic
surgery or related to pregnancy. We have experienced a patient with bilateral femoral neuropathy and
rhabdomyolysis associated with CO poisoning. A 72-year-old male was admitted to hospital in an unconsciousness
state. The patient has been found lying on the edge of the bed with hip extended position. Laboratory
results showed rhabdomylosis and concentration of CO-Hb was 17.5%. After receiving oxygen
therapy, the patient regained consciousness; however, he cannot walk due to lower extremity weakness.
Nerve conduction and electromyography revealed bilateral femoral and saphenous neuropathy. Pelvic
MRI has shown rhabdomyolysis at the confluent portion of iliacus-psoas muscles. Although the patient
had been treated with comprehensive rehabilitation programs, he achieved limited functional improvement
in mobility and balance. After six months, bilateral femoral neuropathy was persisted with minor
improvement.
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KEYWORD
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Carbon monoxide poisoning , Femoral neuropathy
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