Ann Rehabil Med.  2018 Jun;42(3):488-493. 10.5535/arm.2018.42.3.488.

Femoral Neuropathy Secondary to Autosomal Dominant Polycystic Kidney Disease: A Case Report

Affiliations
  • 1Department of Physical Medicine and Rehabilitation, Inje University Ilsan Paik Hospital, Goyang, Korea. stevejkang@gmail.com

Abstract

Compressive femoral neuropathy is a disabling condition accompanied by difficulty in hip flexion and knee extension. It may result from retroperitoneal hematoma or bleeding, or from complications associated with pelvic, hip surgery, and renal transplants. A 55-year-old female with autosomal dominant polycystic kidney disease presented with proximal muscle weakness in lower extremities. The patient experienced recurrent renal cyst infection, with aggravated weakness during each event. Electromyography and nerve conduction study revealed bilateral femoral neuropathy. Computed tomography and magnetic resonance images were added to further identify the cause. As a result, a diagnosis of femoral neuropathy caused by enlarged polycystic kidney was made. Cyst infection was managed with antibiotics. Renal function was maintained by frequent regular hemodialysis. While avoiding activities that may increase abdominal pressure, rehabilitation exercises were provided. Motor strength in hip flexion and knee extension improved, and was confirmed via electrodiagnostic studies.

Keyword

Femoral neuropathy; Autosomal dominant polycystic kidney; Polycystic kidney diseases

MeSH Terms

Anti-Bacterial Agents
Diagnosis
Electromyography
Exercise
Female
Femoral Neuropathy*
Hematoma
Hemorrhage
Hip
Humans
Knee
Lower Extremity
Middle Aged
Muscle Weakness
Neural Conduction
Polycystic Kidney Diseases
Polycystic Kidney, Autosomal Dominant*
Rehabilitation
Renal Dialysis
Anti-Bacterial Agents
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