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Gluteal compartment syndrome with neurologic impairment: Report of 2 cases and review of the literature
Author(s) -
Kuhlman Greg D.,
Gwathmey Kelly G.
Publication year - 2018
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.25630
Subject(s) - medicine , context (archaeology) , fasciotomy , surgery , decompression , lumbosacral joint , anesthesia , paleontology , adverse effect , biology
: We describe two patients who developed gluteal compartment syndrome (GCS) in the context of drug overdose. One patient developed a sciatic neuropathy, and one patient developed a lumbosacral plexopathy. Methods : We reviewed the literature of atraumatic GCS and resultant neurological impairment. Results : We reviewed 26 cases (our two cases and 24 previously published cases) of GCS and neurological impairment. All patients developed GCS in the context of drug or alcohol overdose. Creatine kinase was markedly elevated in all patients in which it was tested, and most patients developed renal failure. Seventeen patients had a fasciotomy, and 9 patients were managed conservatively. There appeared to be a trend toward worse prognosis in the conservatively managed group. Discussion : Neurologists should be aware of GCS. Immediate recognition facilitates consideration of further diagnostic testing, including intracompartmental pressure measurement and consideration of surgical decompression, which may influence outcome. Muscle Nerve , 57 : 325–330, 2018