Two Cases of Pediatric Common Peroneal Nerve Palsy Associated With Intermittent Pneumatic Compression

Common peroneal nerve palsy occurs as a result of compression of the fibular head and has been reported in adults as a complication of intermittent pneumatic compression (IPC), but not in children. In this report, we present two cases of common peroneal nerve palsy. The first occurred in a 13-year-old girl with sepsis and the second in a 12-year-old boy who underwent vocal cord fixation. In both cases, we suspected the involvement of the IPC performed to prevent venous thromboembolism (VTE) during pediatric intensive care unit admission. It is crucial to ensure proper sizing and fitting of the IPC devices to avoid covering the fibular head and apply appropriate decompression. Moreover, recognizing risk factors, such as body position and thinness, is essential for understanding the onset of common peroneal nerve palsy.

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Journal
Cureus
Published
2025-02-06
DOI
https://doi.org/10.7759/cureus.78650
Primary Topic
Peripheral Nerve Disorders
Type
article
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article

Two Cases of Pediatric Common Peroneal Nerve Palsy Associated With Intermittent Pneumatic Compression

Hiroshi Kurosawa, Kazunori Aoki, H Urata, Hiroshi Sakihama
2 links
Cureus
Peripheral Nerve Disorders
article

Two Cases of Pediatric Common Peroneal Nerve Palsy Associated With Intermittent Pneumatic Compression

Hiroshi Kurosawa, Kazunori Aoki, H Urata, Hiroshi Sakihama
article en

Abstract

Common peroneal nerve palsy occurs as a result of compression of the fibular head and has been reported in adults as a complication of intermittent pneumatic compression (IPC), but not in children. In this report, we present two cases of common peroneal nerve palsy. The first occurred in a 13-year-old girl with sepsis and the second in a 12-year-old boy who underwent vocal cord fixation. In both cases, we suspected the involvement of the IPC performed to prevent venous thromboembolism (VTE) during pediatric intensive care unit admission. It is crucial to ensure proper sizing and fitting of the IPC devices to avoid covering the fibular head and apply appropriate decompression. Moreover, recognizing risk factors, such as body position and thinness, is essential for understanding the onset of common peroneal nerve palsy.

CureusVol. 17(2)
Kobe Children's Hospital (JP)
Good health and well-being
Openalex Percentile: Top 97%
Peripheral Nerve Disorders
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