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Femoral Neuropathy in Renal Transplantation

Published online by Cambridge University Press:  18 September 2015

Mandar S. Jog ,
Jean E. Turley  and
Henry Berry
Mandar S. Jog*
Affiliation:
Department of Neurophysiology, The Wellesley Hospital
Jean E. Turley
Affiliation:
Department of Neurophysiology, The Wellesley Hospital
Henry Berry
Affiliation:
Department of Neurophysiology, St. Michael's Hospital, Toronto
*
The Wellesley Hospital, Department of Neurophysiology, Room G050, Toronto, Ontario, Canada M4Y 1J3
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Abstract:

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Acute femoral neuropathy after renal transplantation is an uncommon and rarely recognized complication. Recovery of the nerve is usual. Although rare, five cases have come to our attention in the past twenty years. A detailed clinical and electrophysiological analysis with a six month follow-up is presented. A review of sixteen other reported cases is also provided. The possible pathophysiology including direct compression and nerve ischemia, is discussed. We believe that nerve ischemia, possibly caused by a steal phenomenon, occurs in all cases following the anastomosis of the graft renal artery to the internal iliac artery, with a superimposed component of compression in some cases. The severity of ischemia probably determines the degree of recovery.

Type
Articles
Information
Canadian Journal of Neurological Sciences , Volume 21 , Issue 1 , February 1994 , pp. 38 - 42
Copyright
Copyright © Canadian Neurological Sciences Federation 1994

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