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Case report of bilateral relapsing-remitting sciatic nerve palsy during two pregnancies

Overview of attention for article published in BMC Research Notes, November 2015
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Title
Case report of bilateral relapsing-remitting sciatic nerve palsy during two pregnancies
Published in
BMC Research Notes, November 2015
DOI 10.1186/s13104-015-1647-1
Pubmed ID
Authors

Sonja Suntrup-Krueger, Matthias Schilling, Wolfram Schwindt, Heinz Wiendl, Sven G. Meuth

Abstract

Unlike puerperal peripheral nerve lesions, mononeuropathy during pregnancy is rarely encountered. We report a case of bilateral relapsing-remitting sciatic nerve palsy during two pregnancies. An extensive literature search in PubMed brought no similar cases. A healthy young woman presented with initially unilateral sciatic nerve palsy, which manifested and worsened during the early phases of two successive pregnancies. Electrophysiology revealed axonal lesion of the sciatic nerve with predominant affection of the peroneal part. Extensive laboratory examination including cerebrospinal fluid examination was unremarkable. MR imaging was compatible with bilateral intraneural perineurioma. Recurrent occurrence during two pregnancies and an anamnestic relationship between intermediate worsening of the paresis and the menstrual cycle suggested hormone-dependency of the tumor. However, response to repeated intravenous immunoglobuline (IVIG) therapy during pregnancy and shortly after childbirth resulted in partial reversion of foot drop. This was also indicative of an immunoneuropathy. Nerve biopsy was not performed because of clinical improvement. The precise underlying neuropathological mechanism remained unclear. To increase knowledge and awareness of this rare entity, potential etiologies of mononeuropathies during pregnancy are discussed in the context of this case report. In the rare occasion of peripheral nerve mononeuropathy during pregnancy, in which therapeutic opportunities are limited, IVIG therapy may be an option when the etiology cannot clearly be determined after thorough medical investigation.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 7 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 7 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 3 43%
Student > Bachelor 2 29%
Student > Ph. D. Student 1 14%
Professor 1 14%
Readers by discipline Count As %
Nursing and Health Professions 2 29%
Psychology 2 29%
Computer Science 1 14%
Medicine and Dentistry 1 14%
Neuroscience 1 14%
Other 0 0%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 November 2015.
All research outputs
#5,588,172
of 6,549,866 outputs
Outputs from BMC Research Notes
#1,449
of 1,798 outputs
Outputs of similar age
#167,506
of 210,194 outputs
Outputs of similar age from BMC Research Notes
#139
of 188 outputs
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