Common Peroneal Nerve Entrapment Neuropathy Involving a Vein-Case Report

Compression neuropathy of the common peroneal nerve commonly occurs around the fibular head, typically caused by fibrous bands or muscle fascia. We report a unique case of a 54-year-old woman with common peroneal nerve entrapment caused by a vein. She suffered from a 6-year history of numbness and weakness in the left lower leg. Conservative treatments were ineffective, and we performed surgical treatment. Surgical neurolysis revealed a vein penetrating and compressing the common peroneal nerve; the common peroneal nerve was decompressed by coagulation and transection. The patient's symptoms resolved after the surgery. Surgeons should be aware of venous structures as potential causes of common peroneal nerve entrapment.

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Publication Details

Journal
NMC Case Report Journal
Published
2025-12-17
DOI
https://doi.org/10.2176/jns-nmc.2025-0243
Primary Topic
Peripheral Nerve Disorders
Type
article
Field-Weighted Citation Impact
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article

Common Peroneal Nerve Entrapment Neuropathy Involving a Vein-Case Report

NMC Case Report Journal
Peripheral Nerve Disorders
article

Common Peroneal Nerve Entrapment Neuropathy Involving a Vein-Case Report

article en

Abstract

Compression neuropathy of the common peroneal nerve commonly occurs around the fibular head, typically caused by fibrous bands or muscle fascia. We report a unique case of a 54-year-old woman with common peroneal nerve entrapment caused by a vein. She suffered from a 6-year history of numbness and weakness in the left lower leg. Conservative treatments were ineffective, and we performed surgical treatment. Surgical neurolysis revealed a vein penetrating and compressing the common peroneal nerve; the common peroneal nerve was decompressed by coagulation and transection. The patient's symptoms resolved after the surgery. Surgeons should be aware of venous structures as potential causes of common peroneal nerve entrapment.

NMC Case Report JournalVol. 12(0)
Fukuoka University (JP), Kushiro Rosai Hospital (JP), Matsumoto City Hospital (JP), Neurological Surgery (US), Chiba Hokusou Hospital (JP)
Good health and well-being
Openalex Percentile: Top 32%
Peripheral Nerve Disorders
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