Case Report

Bilateral Femoral Neuropathy: A Rare Complication of Drug Overdose due to Prolonged Posturing in Lithotomy Position

Table 1

Neurophysiological findings.

Sensory nerve conduction studies
Nerve and siteOnset latencyPeak latencyAmplitudeSegmentLatency differenceDistanceConduction velocity

Peroneal R
Ankle2.0 ms2.6 ms15 µVDorsum of foot-ankle2.0 ms100 mm49 m/s
Peroneal L
Ankle2.1 ms2.9 ms12 µVDorsum of foot-ankle2.1 ms95 mm45 m/s
Sural R
Lower leg1.7 ms2.6 ms12 µVAnkle-lower leg1.7 ms95 mm55 m/s
Sural L
Lower leg1.7 ms2.6 ms12 µVAnkle-lower leg1.7 ms95 mm55 m/s
Saphenous R
No recordingLower leg-ankle
Saphenous L
No recordingLower leg-ankle

Motor nerve conduction studies
Nerve and siteLatencyAmplitudeSegmentLatency differenceDistanceConduction velocityF-latency

Peroneal R
Ankle5.9 ms2.7 mVExtensor digitorum brevis-ankle5.9 msmmm/s
Fibula (head)13.0 ms1.9 mVAnkle-fibula (head)7.1 ms320 mm45 m/s
Tibial R
Ankle4.1 ms20.0 mVAbductor hallucis-ankle4.1 msmmm/s53.9 msec
Tibial L
Ankle3.9 ms20.7 mVAbductor hallucis-ankle3.9 msmmm/s53.3 msec

Electromyography
Spontaneous activityMUAPsActivationRecruitment
FibrillationsPSWsAmplitudeDurationPhases

Right vastus lateralis+3+3No MUAPs could be recruited
Right vastus medialis+3+3No MUAPs could be recruited
Left vastus lateralis+3+3No MUAPs could be recruited
Left vastus medialis+3+3No MUAPs could be recruited
Right iliopsoas00NNNNN
Left iliopsoas00NNNNN
Right adductor longus00NNNNN
Left adductor longus00NNNNN

PSWs, positive sharp waves; MUAPs, motor unit action potentials; N, normal.