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KMID : 1130220170210010031
Annals of Geriatric Medicine and Research
2017 Volume.21 No. 1 p.31 ~ p.34
Multiple Peripheral Neuropathies Adjacent to Necrotizing Myositis Related to Rhabdomyolysis
Kim In-Soo

Lee Woo-Hyung
Lim Jae-Young
Abstract
Herein, we report an elderly man with lower limb weakness due to multiple peripheral neuropathies associated with rhabdomyolysis that was identified by electro-diagnosis and hip magnetic resonance imaging (MRI). He was diagnosed with acute kidney injury due to rhabdomyolysis following prolonged immobilization after alcoholic intoxication. He complained of thigh pain, hypoesthesia, and weakness in both lower extremities. The electro-diagnostic study showed near complete axonal loss of the sciatic nerve and partial axonal loss of the femoral and obturator nerve, between the gluteal region and the proximal thigh level, which was more severe on the right side than on the left. Hip MRI revealed extensive necrotizing myositis on the gluteal, psoas, and adductor muscles, and an inflammatory lesion around multiple peripheral nerves at the pelvic and proximal thigh level. The clinical course and prognosis were discussed as an example of a neurological complication arising from an inflammatory condition related to rhabdomyolysis.
KEYWORD
Neuropathy, Necrotizing myositis, Rhabdomyolysis
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