Ann Geriatr Med Res.  2017 Mar;21(1):31-34. 10.4235/agmr.2017.21.1.31.

Multiple Peripheral Neuropathies Adjacent to Necrotizing Myositis Related to Rhabdomyolysis

• Kim IS
• Lee WH
• Lim JY

• KMID: 2415669
• DOI: http://doi.org/10.4235/agmr.2017.21.1.31

Abstract

Herein, we report an elderly man with lower limb weakness due to multiple peripheral neuropathies associated with rhabdomyolysis that was identified by electro-diagnosis and hip magnetic resonance imaging (MRI). He was diagnosed with acute kidney injury due to rhabdomyolysis following prolonged immobilization after alcoholic intoxication. He complained of thigh pain, hypoesthesia, and weakness in both lower extremities. The electro-diagnostic study showed near complete axonal loss of the sciatic nerve and partial axonal loss of the femoral and obturator nerve, between the gluteal region and the proximal thigh level, which was more severe on the right side than on the left. Hip MRI revealed extensive necrotizing myositis on the gluteal, psoas, and adductor muscles, and an inflammatory lesion around multiple peripheral nerves at the pelvic and proximal thigh level. The clinical course and prognosis were discussed as an example of a neurological complication arising from an inflammatory condition related to rhabdomyolysis.

Keyword

Neuropathy; Necrotizing myositis; Rhabdomyolysis

MeSH Terms

Acute Kidney Injury
Aged
Alcoholic Intoxication
Axons
Buttocks
Hip
Humans
Hypesthesia
Immobilization
Lower Extremity
Magnetic Resonance Imaging
Muscles
Myositis*
Obturator Nerve
Peripheral Nerves
Peripheral Nervous System Diseases*
Prognosis
Rhabdomyolysis*
Sciatic Nerve
Thigh