Peroneal nerve palsy after compression stockings application.
Peroneal nerve palsy can be caused by various etiology. We report unilateral peroneal nerve palsy after compression stockings application. A 64-year-old man underwent off-pump coronary bypass graft. Surgeon did not use saphenous vein for the bypass graft. Sedation was stopped after 3 h postoperative. After 16 h, for prophylaxis of deep vein thrombosis, knee-high elastic stocking was applied. After 1 h, he took off right stocking because of numbness but left stocking was kept. After 24 h postoperative, (8 h after stocking application) patient complained suddenly left foot drop. Manual muscle test revealed 0/5 of ankle dorsiflexion, ankle eversion, and toe extension. Sensory was decreased to 70% in lower half of anterolateral aspect of tibia, foot dorsum, and toes. Foot drop and sensory abnormality decreased in 3 weeks. Cardiac surgery patients already have many risk factors for peripheral neuropathy. Clinicians should be careful when applying stockings on those patients.
Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University, Gimhae, Korea.
Jun Hyun
JH
Kim
Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University, Gimhae, Korea.
Won Il
WI
Kim
Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University, Gimhae, Korea.
Ji Yeon
JY
Kim
Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University, Gimhae, Korea.
Won Joo
WJ
Choe
Compression; coronary artery bypass; off-pump; peroneal neuropathies; stockings