Right Common Peroneal Neuropathy after Vaginal Delivery

Hye Sim Kang

doi:10.14734/PN.2017.28.3.96

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Kang: Right Common Peroneal Neuropathy after Vaginal Delivery

Case report

Perinatology 2017;28(3):96-98.

Published online: 19 September 2017

DOI: https://doi.org/10.14734/PN.2017.28.3.96

Right Common Peroneal Neuropathy after Vaginal Delivery

Hye Sim Kang, MD

Department of Obstetrics and Gynecology, Jeju National University College of Medicine, Jeju, Korea

Correspondence to Hye Sim Kang, MD Department of Obstetrics and Gynecology, Jeju National University College of Medicine, 15 Aran 13-gil, Jeju 63241, Korea Tel: +82-64-717-1820 Fax: +82-64-717-1131 E-mail: obkanghs@gmail.com

Received 28 October 201614 February 2017 Accepted 16 August 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Postpartum common peroneal neuropathy is rare. Causes of peroneal neuropathy include prolonged external knee compression like lithotomy position or knee hyperflexion and epidural analgesia. We report a case of right common peroneal neuropathy after vaginal delivery. A 20-year-old nulliparous woman complained of weakness and abnormal sensation of right foot after vaginal delivery. Lumbar magnetic resonance imaging results are normal, but needle electromyography reveals abnormal spontaneous activities in right tibialis anterior and right extensor hallucis longus. These findings are suggestive of right common peroneal neuropathy with mild axonotmesis. The patient had fully recovered at 6 weeks after the delivery with conservative management include stretching and range of motion exercise. Peroneal neuropathy is rare, but understanding of the risk factor and preventive measure for peroneal neuropathy is important for delivery team.

Keywords: Common peroneal neuropathy, Vaginal birth

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Fig. 1

Needle EMG reveals abnormal spontaneous activities in R TIB anterior (A) and R EXT HALL longus (B). These findings are suggestive of right common peroneal neuropathy with mild axonotmesis. EMG, electromyography; R TIB, right tibialis; R EXT HALL, right extensor halluces.

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