• 대한족부족관절학회지
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• 제15권3호
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• pp.170-174
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• 2011

Acupuncture has been widely used to treat a variety of disease and symptoms. But various complications have been reported. Among them, peripheral nerve injuries have been reported less frequently than other complications. The purpose of this report is to describe what we believe to be the first case of delayed superficial and deep peroneal nerve compressive neuropathy caused by fibrotic mass formed by neglected broken acupuncture needle.

• Journal of Korean Neurosurgical Society
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• 제38권4호
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• pp.306-308
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• 2005

Schwannomas are benign nerve sheath tumors that can present in various locations and they have variable symptoms. However, schwannoma of the superficial peroneal nerve is rare, and only a limited number of cases have been reported. The authors here describe a case of schwannoma of the superficial peroneal nerve, which was initially considered as a L5 radiculopathy because of its clinical similarity. In the differential diagnosis of nontraumatic and nonarthritic pain of the lower leg and foot, benign tumors, particularly schwannomas of the peroneal nerves should be considered. Treatment by excision can result in relief of the symptoms and maintenance of function.

• 대한족부족관절학회지
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• 제16권1호
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• pp.62-64
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• 2012

Superficial peroneal nerve entrapment is an uncommon compression neuropathy, and is frequently associated with a fascial defect and a muscle hernia. The standard treatment of that was the nerve decompression by complete or limited fasciotomy. But, we experienced a case of superficial peroneal nerve entrapment had satisfactory surgical outcome by fascial repair of peroneus muscle.

• Journal of Korean Neurosurgical Society
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• 제61권4호
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• pp.509-515
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• 2018

Objective : In Asians, kneeling and squatting are the postures that are most often induce common peroneal neuropathy. However, we could not identify a compatible compression site of the common peroneal nerve (CPN) during hyper-flexion of knees. To evaluate the course of the CPN at the popliteal area related with compressive neuropathy using magnetic resonance imaging (MRI) scans of healthy Koreans. Methods : 1.5-Tesla knee MRI scans were obtained from enrolled patients and were retrospectively reviewed. The normal populations were divided into two groups according to the anatomical course of the CPN. Type I included subjects with the CPN situated superficial to the lateral gastocnemius muscle (LGCM). Type II included subjects with the CPN between the short head of biceps femoris muscle (SHBFM) and the LGCM. We calculated the thickness of the SHBFM and posterior elongation of this muscle, and the LGCM at the level of femoral condyles. In type II, the length of popliteal tunnel where the CPN passes was measured. Results : The 93 normal subjects were included in this study. The CPN passed through the "popliteal tunnel" formed between the SHBFM and the LGCM in 36 subjects (38.7% type II). The thicknesses of SHBFM and posterior portions of this muscle were statistically significantly increased in type II subjects. The LGCM thickness was comparable in both groups. In 78.8% of the "popliteal tunnel", a length of 21 mm to <40 mm was measured. Conclusion : In Korean population, the course of the CPN through the "popliteal tunnel" was about 40%, which is higher than the Western results. This anatomical characteristic may be helpful for understanding the mechanism of the CPNe by posture.

• The Korean Journal of Pain
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• 제34권1호
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• pp.124-131
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• 2021

Background: Sciatic nerve injury due to intramuscular injection (SNIII) is still a health problem. This study aimed to determine whether there is a correlation between neuropathic pain and electrodiagnostic findings in SNIII. Methods: Patients whose clinical and electrodiagnostic findings were compatible with SNIII participated in this retrospective cohort study. Compound muscle action potential (CMAP) and sensory nerve action potential (SNAP) amplitudes of the sural, superficial peroneal, peroneal, and tibial nerves were graded from 1 to 4. Leeds assessment of neuropathic symptoms and signs scale (LANSS) was applied to all patients. Results: Forty-eight patients were included in the study, 67% of whom had a LANSS score ≥ 12. Sural SNAP amplitude abnormalities were present in 8 (50%) out of 16 patients with a LANSS score < 12, and 28 (87.5%) out of 32 patients with a LANSS score ≥ 12, with significant differences between the groups (P = 0.011). There was a positive correlation between the LANSS score and the sural SNAP amplitude grading (P = 0.001, r = 0.476). A similar positive correlation was also found in the LANSS score and the tibial nerve CMAP amplitude grading (P = 0.004, r = 0.410). Conclusions: This study showed a positive correlation between the severity of tibial nerve CMAP/sural SNAP amplitude abnormality and LANSS score in SNIII. Neuropathic pain may be more common in SNIII patients with sural nerve SNAP amplitude abnormality.

• 대한임상검사과학회지
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• 제56권2호
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• pp.156-162
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• 2024

신경전도검사는 말초신경의 기능을 객관적으로 정량화 할 수 있어 말초신경병의 진단 및 추적관찰에 필수적인 검사로 활용된다. 신경전도검사는 여러 생리학적 요인에 의해 영향을 받으며, 현재 미국 신경근 및 전기진단 의학 협회(American Association of Neuromuscular & Electrodiagnosis Medicine)에서는 신경전도 표준화 사업(Normative Data Task Force, NDTF)을 구성하여 정상치를 제시하고 있으나, 그 수가 불충분하다. 현재 한국인을 대상으로 한 신장과 다리길이에 따른 신경전도속도를 함께 비교 및 상관관계를 조사한 연구가 존재하지 않아 본 연구를 통해 신장과 다리길이에 따른 하지 신경전도속도를 비교하고자 한다. 총 49명의 대상자를 모집하였으며, 키와 다리길이에 따른 운동신경전도검사와 감각신경전도검사를 비교한 결과, 키에 따른 양측 종아리신경 운동신경전도속도 및 좌측 정강신경의 운동신경전도속도 모두 통계적으로 유의한음의 상관관계를 보였으며, 다리길이에 따른 양측 얕은종아리신경 감각신경전도속도 및 양측 장딴지신경의 감각신경전도속도 모두 통계적으로 유의한 음의 상관관계를 보였다. 하지만 NDTF에서는 연령을 나누어 제시되는 것에 반해 이번 연구에서는 모든 대상자가 20대의 성인으로, 다양한 연령의 한국인을 대상으로 추가적인 연구를 통해 키와 다리길이에 따른 신경전도속도를 보다 정확하게 관찰할 수 있을 것으로 예상된다.