Open AccessCommon Peroneal Nerve Palsy Associated With Intraoperative Hypotension Following Total Thyroidectomy
Author(s) -
Young Back Choi
Publication year - 2020
Publication title -
hsoa journal of anesthesia and clinical care
Language(s) - English
Resource type - Journals
ISSN - 2378-8879
DOI - 10.24966/acc-8879/100050
Subject(s) - medicine , surgery , supine position , anesthesia , complication , palsy , common peroneal nerve , thyroidectomy , thyroid , alternative medicine , pathology
Perioperative peroneal neuropathy is an uncommon complication following surgeries performed with patients positioned supine. It may be caused by various factors aside from intraoperative compression. The authors report a case of common peroneal nerve palsy in a patient who underwent total thyroidectomy with central and bilateral selective neck dissection. The patient’s body mass index was 31.3 kg/m2. She was positioned supine and the operative time was 7-h. During surgery, her mean arterial pressure intermittently dropped to 50-60 mmHg for 55 min and 61-70 mmHg for 195 min. She developed common peroneal nerve palsy on postoperative day 1. Nevertheless, the patient fully recovered without any complications within 3 weeks.