Journal of Japan Society of Pain Clinicians
Online ISSN : 1884-1791
Print ISSN : 1340-4903
ISSN-L : 1340-4903
Compression neuropathy caused by elastic stocking
Noritaka IMAMACHIHiroyuki KUSHIZAKIKatsushi DOIYoji SAITO
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2005 Volume 12 Issue 4 Pages 393-395

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Abstract
We encountered a case of compression neuropathy of the superficial peroneal nerve caused by elastic stocking used during the perioperative period. A 45-year-old woman with ovarian tumor underwent a transabdominal hystrectomy under combined general and epidural anesthesia. The entire anesthetic course as well as surgery was uneventful. On the 55th postoperative day, she was referred to our pain clinic due to numbness of the left ankle. Pressure marks and pigmentation was noted surrounding the left ankle. There after, it was found out that the morning after the operation, a tight hole at the toe of the elastic stocking had slipped and risen, creating strong pressure on the left ankle.
Since pain observed along the pressure mark region paralleled the course of the superficial peroneal nerve, compression neuropathy caused by elastic stocking was suspected. With oral administration of vitamin B12 for one month, her symptoms improved.
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