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Case Reports in Obstetrics and Gynecology
Volume 2014, Article ID 746480, 4 pages
http://dx.doi.org/10.1155/2014/746480
Case Report

An Uncommon Case of Bilateral Peroneal Nerve Palsy following Delivery: A Case Report and Review of the Literature

1Department of Gynecologic Oncology, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA
2Department of Obstetrics and Gynecology, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA

Received 2 July 2014; Accepted 22 July 2014; Published 11 August 2014

Academic Editor: Eliezer Shalev

Copyright © 2014 Kristen Bunch and Erica Hope. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Peroneal nerve palsy is an infrequent but potential complication of childbirth. Bilateral peroneal palsy is particularly rare following delivery with few reported cases. A 38-year-old gravida 1, para 0 underwent a prolonged second stage of labor, was diagnosed with an arrest of descent, and subsequently underwent an uncomplicated primary cesarean section. The patient was diagnosed with bilateral peroneal neuropathy four days after delivery. By two months postpartum, her foot drop had improved by 85% and the remainder of her symptoms resolved. Awareness of the risks of a peroneal neuropathy as well as implementation of preventive measures is important for members of the delivery team. Regional anesthesia during labor is a risk factor for the development of a peroneal neuropathy.