| 000 | nab a22 7a 4500 | ||
|---|---|---|---|
| 999 |
_c17295 _d17295 |
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| 003 | PC17295 | ||
| 005 | 20230310140442.0 | ||
| 008 | 230310b xxu||||| |||| 00| 0 eng d | ||
| 040 | _cH12O | ||
| 041 | _aeng | ||
| 100 |
_91921 _aLópez Blanco, Roberto _eNeurología |
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| 100 |
_91923 _aMejía Jiménez, Inmaculada _eObstetricia y Ginecología |
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| 100 |
_91922 _aFuenmayor Fernández de la Hoz, Carlos Pablo de _eNeurología |
||
| 100 |
_91470 _aRuiz Morales, Juan Manuel _eNeurología |
||
| 245 | 0 | 0 |
_aRare cause of paraparesis: bilateral obturator neuropathy after hysterosalpingectomy. _h[caso clínico] |
| 260 |
_bBMJ case reports, _c2015 |
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| 300 | _a2015:bcr2015212660. | ||
| 500 | _aFormato Vancouver: López Blanco R, Mejía Jiménez I, de Fuenmayor Fernández de la Hoz CP, Ruiz Morales J. Rare cause of paraparesis: bilateral obturator neuropathy after hysterosalpingectomy. BMJ Case Rep. 2015 Dec 21;2015:bcr2015212660. | ||
| 501 | _aPMID: 26689250 PMC4691895 | ||
| 504 | _aContiene 11 referencias | ||
| 520 | _aBilateral obturator nerve injury during pelvic surgery is an infrequent cause of lower limb paraparesis. We report the case of a 45-year-old woman with a large uterine leiomyoma who underwent simple total hysterectomy and bilateral salpingectomy. At 24 h after the surgery, the patient noticed loss of muscle strength when adducting both legs. She had no problem with other movements and no sensory or sphincter abnormalities. Neurological examination confirmed that there was loss of strength only in the adductor muscles, with preserved sensory function and reflexes, suggesting bilateral obturator nerve involvement. Pelvic MRI showed a small postsurgical haematoma in the Douglas recess, but far from the obturator nerves. 2 weeks later, electromyography showed positive sharp waves and low motor unit recruitment in the adductor magnus muscles, confirming acute, bilateral obturator nerve neuropathy. The few cases of bilateral obturator neuropathy that have been reported were mostly related to abdominopelvic interventions. | ||
| 710 |
_9267 _aServicio de Neurología-Neurofisiología |
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| 710 |
_9427 _aServicio de Obstetricia y Ginecología |
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| 856 |
_uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4691895/ _yAcceso libre |
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| 942 |
_2ddc _cCAS _n0 |
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