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 site | Onset latency | Peak latency | Amplitude | Segment | Latency difference | Distance | Conduction velocity |
| Peroneal R | Ankle | 2.0 ms | 2.6 ms | 15 µV | Dorsum of foot-ankle | 2.0 ms | 100 mm | 49 m/s | Peroneal L | Ankle | 2.1 ms | 2.9 ms | 12 µV | Dorsum of foot-ankle | 2.1 ms | 95 mm | 45 m/s | Sural R | Lower leg | 1.7 ms | 2.6 ms | 12 µV | Ankle-lower leg | 1.7 ms | 95 mm | 55 m/s | Sural L | Lower leg | 1.7 ms | 2.6 ms | 12 µV | Ankle-lower leg | 1.7 ms | 95 mm | 55 m/s | Saphenous R | | No recording | Lower leg-ankle | | | | Saphenous L | | No recording | Lower leg-ankle | | | |
| Motor nerve conduction studies | Nerve and site | Latency | Amplitude | Segment | Latency difference | Distance | Conduction velocity | F-latency |
| Peroneal R | Ankle | 5.9 ms | 2.7 mV | Extensor digitorum brevis-ankle | 5.9 ms | mm | m/s | | Fibula (head) | 13.0 ms | 1.9 mV | Ankle-fibula (head) | 7.1 ms | 320 mm | 45 m/s | | Tibial R | Ankle | 4.1 ms | 20.0 mV | Abductor hallucis-ankle | 4.1 ms | mm | m/s | 53.9 msec | Tibial L | Ankle | 3.9 ms | 20.7 mV | Abductor hallucis-ankle | 3.9 ms | mm | m/s | 53.3 msec |
| Electromyography | | Spontaneous activity | MUAPs | Activation | Recruitment | | Fibrillations | PSWs | Amplitude | Duration | Phases | | |
| Right vastus lateralis | +3 | +3 | No MUAPs could be recruited | Right vastus medialis | +3 | +3 | No MUAPs could be recruited | Left vastus lateralis | +3 | +3 | No MUAPs could be recruited | Left vastus medialis | +3 | +3 | No MUAPs could be recruited | Right iliopsoas | 0 | 0 | N | N | N | N | N | Left iliopsoas | 0 | 0 | N | N | N | N | N | Right adductor longus | 0 | 0 | N | N | N | N | N | Left adductor longus | 0 | 0 | N | N | N | N | N |
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PSWs, positive sharp waves; MUAPs, motor unit action potentials; N, normal.
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