Foot Drop of Contralateral Limb after Deformity Correction in a Polio Patient: A Case Report
Sang Gyo Seo, Jae Young Park, Jin-Tae Kim*, Ji-Beom Kim, Dong Yeon Lee
Departments of Orthopedic Surgery and *Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea
Correspondence to: Dong Yeon Lee
Department of Orthopedic Surgery, Seoul National University Hospital,
101 Daehak-ro, Jongno-gu, Seoul 110-744, Korea
Tel: 82-2-2072-1863, Fax: 82-2-764-2718, E-mail: leedy@snu.ac.kr
Department of Orthopedic Surgery, Seoul National University Hospital,
101 Daehak-ro, Jongno-gu, Seoul 110-744, Korea
Tel: 82-2-2072-1863, Fax: 82-2-764-2718, E-mail: leedy@snu.ac.kr
Received February 26, 2014; Revised April 9, 2014; Accepted April 24, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Abstract
- Postpoliomyelitis syndrome is a common neurological disorder that occurs in patients who have experienced paralytic poliomyelitis. Recently, as a result of vaccination against poliovirus, incidence of poliomyelitis is exceedingly low. However, many patients with postpolio syndrome may encounter anesthesia when undergoing surgery, such as for correction of foot deformity and other operations. We report on a 45-year-old woman who experienced paralysis of her contralateral limb after operation on the left foot under spinal anesthesia. Postoperative electromyography/nerve conduction study (EMG/NCS) was performed in order to determine the cause of paralysis. Motor power of the sequelae involved leg showed improvement with time and recovered fully to the preoperative level at six months after the index operation. A precise evaluation, including a physical examination and EMG/NCS, should be performed preoperatively when spinal anesthesia is planned for postpolio syndrome patients.
- Keywords : Poliomyelitis, Spinal anesthesia, Paralysis, Postpoliomyelitis syndrome
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