Sciatic neuropathy and rhabdomyolysis after carbon monoxide intoxication A case reportopen access
- Authors
- Lee, Hyeok Dong; Lee, Sung Young; Cho, Young-Shin; Han, Seung Hoon; Park, Si-Bog; Lee, Kyu Hoon
- Issue Date
- Jun-2018
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- carbon monoxide intoxication; electromyography; rhabdomyolysis; sciatic neuropathy
- Citation
- MEDICINE, v.97, no.23, pp.1 - 4
- Indexed
- SCIE
SCOPUS
- Journal Title
- MEDICINE
- Volume
- 97
- Number
- 23
- Start Page
- 1
- End Page
- 4
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/149983
- DOI
- 10.1097/MD.0000000000011051
- ISSN
- 0025-7974
- Abstract
- Rationale:
Peripheral neuropathy is a rare complication of carbon monoxide intoxication. Peripheral neuropathy following carbon monoxide intoxication is known to completely recover within a few months.
Patient concerns:
A 40-year-old man complained of motor weakness and hypoesthesia of the right lower extremity with swelling of his right thigh after carbon monoxide intoxication resulting from a suicide attempt.
Diagnoses:
Following nerve conduction and electromyographic studies, the patient was diagnosed with sciatic neuropathy with severe axonopathy. Clinical and laboratory findings led to a diagnosis of rhabdomyolysis.
Interventions:
The patient was treated conservatively for rhabdomyolysis and underwent comprehensive rehabilitation for sciatic neuropathy during hospitalization.
Outcomes:
After discharge, he underwent serial follow-up tests with nerve conduction and electromyographic studies, which showed prolonged persistence of sciatic neuropathy; however, he showed significant improvement at his 26-month post-discharge follow-up.
Lesson:
Patients presenting with peripheral neuropathy secondary to carbon monoxide intoxication may show variable recovery periods; however, a favorable prognosis can be expected regardless of the concomitant occurrence of rhabdomyolysis and/or compartment syndrome.
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