Monday, August 31, 2015

A 42 Year Old Man With Neurological Weakness In His Legs

A 42-year-old man required ventilation for a prolonged period during an episode of septicaemia. Following this he developed difficulty with walking and required the aid of an assistant to mobilize. On neurological examination there was weakness on dorsiflexion of the toes, as well as
ankle eversion. The patient also had reduced sensation, affecting the anterior lateral aspects below the knee and the dorsum of the foot.

What is the Diagnosis?
.
.
Common peroneal nerve palsy.

Case Discussion:
Weakness of dorsiflexion and eversion of the foot and reduced sensation over the antero-lateral aspects of the lower leg and dorsum of the foot are typical features of common peroneal nerve palsy. The common peronealnerve crosses over the fibula, where it may become damaged owing to acute or chronic compression.

Common peroneal nerve palsy occurs following:

  • compression due to plaster casts below the knee,
  • excessive crossing of the legs, or 
  • prolonged pressure on the fibula during general anaesthesia or unconsciousness.
  • damaged during trauma or
  • affected by diabetic neuropathy.

2 comments:

  1. Hello, my name is Betty. i was diagnosed of HIV virus 4 years back. Before then, i was dating this Derrick guy. we had something great going on. Our love life only lasted for 8 months. the sixth and seven month of our relationship, i began feeling very weak every now and then. But i never suspected anything until I kept on experiencing different symptoms like having sore throats, constant headache, body weakness e.t.c. I decided to go for a medical check up. I was tested HIV positive. when the doctor broke the news to me, it was as if my whole world had crumbled. it dawned on me then that Derrick has been lying to me. i was very mad to an extent i almost committed suicide. But there was nothing i could do, other than weep and weep. ever since then, i have been spending heavily on medications, going from one medical clinic or the other so I can look healthy. Though since i was a kid, i love herbs a lot. i take herbal tea with grandma while growing so i am quite familiar with herbs. early last year, i was on the internet and on a particular health blog, to check for herbal medication as alternative. I saw many comments and read many testimonies. Until i came across a particular testimony on how Dr.ugo cured a patient from herpes simplex virus using pure natural herbs. i reached out to the doctor because I also was thinking Herpes had no cure. I told him about my HIV status.He encouraged me not to panic that he will help me get my deliverance. he prepared some herbs and sent them to me. The herbs were in four 70ml bottles and I took them morning and night. i used as he directed, and in less than three weeks, i started having appetite to eat plenty of food and i gained back my strength. the fourth week,I consumed all the herbal meds. He encouraged me to go for a test which i did. This time, the result was negative. I quickly contacted the doctor and informed him of the news. I immediately asked him to prepare for Derrick too. He did and sent it. Today, me and Derrick are HIV free. All thanks goes to God Almighty for healing us through Dr.Ugo. if you are having any kind of sickness at all, Dr.Ugo is the right person to talk to and i assure you, you will be glad you did. His email: ugoherbalhome@gmail.com you can also write him on WhatsApp +2348104990619.

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