Bilateral sciatic neuropathy as a complication of craniotomy performed in the sitting position: localization of nerve injury by using magnetic resonance imaging

Introduction Sciatic neuropathy is a rare but serious complication following surgery performed in the sitting position. Methods We report a case of a 12-year-old boy who developed bilateral sciatic neuropathy after a 9-h-long craniotomy while in the sitting position. Results Magnetic resonance imagi...

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Bibliographic Details
Published in:Child's nervous system 2012, Vol.28 (1), p.159-163
Main Authors: Wang, Jia-Chi, Wong, Tai-Tong, Chen, Hsin-Hung, Chang, Po-Yao, Yang, Tsui-Fen
Format: Article
Language:English
Subjects:
Adolescent
Brain Neoplasms - surgery
Case Report
Craniotomy - adverse effects
Craniotomy - methods
Electromyography
Humans
Male
Medicine
Medicine & Public Health
Nerve Compression Syndromes - etiology
Nerve Compression Syndromes - pathology
Neurosciences
Neurosurgery
Pineal Gland - surgery
Pinealoma - surgery
Postoperative Complications - etiology
Postoperative Complications - pathology
Posture
Sciatic Nerve - injuries
Sciatic Nerve - pathology
Sciatic Neuropathy - etiology
Sciatic Neuropathy - pathology
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Summary:Introduction Sciatic neuropathy is a rare but serious complication following surgery performed in the sitting position. Methods We report a case of a 12-year-old boy who developed bilateral sciatic neuropathy after a 9-h-long craniotomy while in the sitting position. Results Magnetic resonance imaging for the lower extremities revealed bilateral swelling of the sciatic nerves near the ischial tuberosities. Conclusion A heightened awareness of sciatic nerve injury during prolonged surgery in the sitting position may make early diagnosis possible and allow prevention of further neurologic injury.
ISSN:0256-7040
1433-0350
DOI:10.1007/s00381-011-1597-4