An example of peripheral neuropathy that can be managed by the general practitioner: peroneal nerve neuropraxia
DOI:
https://doi.org/10.32385/rpmgf.v37i5.13069Keywords:
Peripheral neuropathy, Peroneal nerve, NeuropraxiaAbstract
Introduction: Neuropraxia is a rare form of peripheral nerve injury. All general practitioners (GP) can manage this condition due to its excellent prognosis and complete reversibility.
Case Description: 46-year-old male, had cholecystectomy for gallstones in February 2019, having lost 10 kg. On the 18th of November 2019, he presented to his GP with an inability to lift his left foot, accompanied by hypoesthesia and decreased strength in the entire left lower limb since the 11th of September 2019, after being seated for three hours, with his right leg crossed over the left. The GP requested an electromyogram test, which revealed neuropraxia of the left peroneal nerve. All symptoms disappeared spontaneously six months after the initial injury.
Comment: Although reversible, neuropraxia has a very exuberant clinical presentation and can lead the patient to think that suffers from a serious illness. Knowing how to approach and make sure that the patient understands the disease and its prognosis is essential to avoid overdiagnosis and overtreatment.
Downloads
References
Azhary H, Farooq MU, Bhanushali M, Majid A, Kassab MY. Peripheral neuropathy: differential diagnosis and management. Am Fam Physician. 2010;81(7):887-92.
Cheng YJ, Gregg EW, Kahn HS, Williams DE, De Rekeneire N, Narayan KM. Peripheral insensate neuropathy: a tall problem for US adults? Am J Epidemiol. 2006;164(9):873-80.
Hanewinckel R, Ikram MA, Van Doorn PA. Peripheral neuropathies. Handb Clin Neurol. 2016;138:263-82.
Atroshi I, Gummesson C, Johnsson R, Ornstein E, Ranstam J, Rosén I. Prevalence of carpal tunnel syndrome in a general population. JAMA. 1999;282(2):153-8.
De Krom MC, Knipschild PG, Kester AD, Thijs CT, Boekkooi PF, Spaans F. Carpal tunnel syndrome: prevalence in the general population. J Clin Epidemiol. 1992;45(4):373-6.
LaPrade RF, Terry GC. Injuries to the posterolateral aspect of the knee: association of anatomic injury patterns with clinical instability. Am J Sports Med. 1997;25(4):433-8.
Siqueira R. Lesões nervosas periféricas: uma revisão [Peripheral nerve injury: a review]. Rev Neurocienc. 2007;15(3):226-33. Portuguese
Noble J, Munro CA, Prasad VS, Midha R. Analysis of upper and lower extremity peripheral nerve injuries in a population of patients with multiple injuries. J Trauma. 1998;45(1):116-22.
Seddon HJ. A classification of nerve injuries. Br Med J. 1942;2(4260):237-9.
Gilliatt RW, Hjorth RJ. Nerve conduction during Wallerian degeneration in the baboon. J Neurol Neurosurg Psychiatry. 1972;35(3):335-41.
Campbell WW. Evaluation and management of peripheral nerve injury. Clin Neurophysiol. 2008;119(9):1951-65.
Poage C, Roth C, Scott B. Peroneal nerve palsy: evaluation and management. J Am Acad Orthop Surg. 2016;24(1):1-10.
Chaudhry V, Cornblath DR. Wallerian degeneration in human nerves: serial electrophysiological studies. Muscle Nerve. 1992;15(6):687-93.
Bergquist ER, Hammert WC. Timing and appropriate use of electrodiagnostic studies. Hand Clin. 2013;29(3):363-70.
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Portuguese Journal of Family Medicine and General Practice

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The authors will assign to the RPMGF the sole right to publish and distribute the content of the manuscript specified in this declaration via physical, electronic, broadcasting or any other medium that may come into existence. They also grant the RPMGF the right to use and exploit this manuscript, in particular by assigning, selling or licensing its content. This permission is permanent and takes effect from the moment the manuscript is submitted, has the maximum duration allowed by applicable Portuguese or international law and is of worldwide scope. The authors further declare that this assignment is made free of charge. If the RPMGF informs the authors that it is not going to publish their manuscript, the exclusive assignment of rights ceases forthwith.
The authors authorise the RPMGF (or any entity it may appoint) to act on their behalf when it believes that copyright may have been infringed.