Superficial peroneal nerve syndrome: an unusual nerve entrapment. Case report.

Abstract:

:Lower-extremity pain and paresthesia have multiple origins. Early recognition of the symptoms of peripheral nerve entrapment leads to timely treatment and avoids the cost of unnecessary studies. The authors report on a case of superficial peroneal nerve syndrome resulting from nerve herniation through a fascial defect, which was responsive to surgical treatment. This 22-year-old man presented with pain and paresthesias over the lateral aspect of the right calf and the dorsum of the foot without motor weakness. Exercise led to the formation of a tender bulge approximately 12 cm above the lateral malleolus. Percussion of this site worsened his symptoms. Radiography and electromyography studies were nondiagnostic. The patient underwent surgical decompression that involved division of the fascia overlying the nerve and neurolysis of the superficial peroneal nerve. The operation resulted in symptom-free relief. Superficial peroneal nerve syndrome is an entrapment neuropathy that results from mechanical compression of the nerve at or near the point where the nerve pierces the fascia to travel within the subcutaneous tissue. Surgical decompression of the mechanical entrapment usually provides relief from pain and paresthesia.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Yang LJ,Gala VC,McGillicuddy JE

doi

10.3171/jns.2006.104.5.820

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

820-3

issue

5

eissn

0022-3085

issn

1933-0693

journal_volume

104

pub_type

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