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Popliteus muscle hemorrhage as a rare cause of a proximal tibial neuropathy
Affiliation:1. Mayo Clinic Florida, Department of Neurology, 4500 San Pablo Road, Jacksonville, FL 32082, USA;2. Mayo Clinic Florida, Department of Orthopedics, Jacksonville, FL, USA;1. Department of Otolaryngology-Head and Neck Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ, USA;2. Department of Neurological Surgery, Neurological Institute of New Jersey, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA;3. Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Department of Neurological Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 185 S Orange Avenue, Newark, NJ 07103, USA;1. Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street, White Building Room 502, Boston, MA 02114, USA;2. Department of Neurosurgery, Brigham and Women’s Hospital, Boston, MA, USA;3. Departments of Neuroradiology and Neurosurgery, Brigham and Women’s Hospital, Boston, MA, USA;4. Department of Neurology, Brigham and Women’s Hospital, Boston, MA, USA;5. Department of Neurological Surgery, UPMC Presbyterian Hospital, Pittsburgh, PA, USA;1. Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey;2. Department of Orthopaedics and Traumatology, Medical Faculty, Ordu University, Ordu, Turkey;3. Department of Orthopedic, Medical Faculty, Ataturk University, Erzurum, Turkey;1. Department of Anesthesiology, Columbia University, 630 West 168th Street, P&S Box 46, New York, NY 10032, USA;2. Department of Neurological Surgery, Columbia University, New York, NY, USA;3. Department of Neurology, Columbia University, New York, NY, USA;1. Neurosurgery Department, Wellington Hospital, Capital and Coast District Health Board, Riddiford Street, Newtown, Wellington 6021, New Zealand;2. Neurosurgery Department, Starship Hospital, Auckland, New Zealand;1. Neurology Unit, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India;2. Department of Pediatrics, Lady Hardinge Medical College, New Delhi, India;3. Rainbow Children’s Hospital and Perinatal Centre, Hyderabad, India;4. Division of Pediatric Neurology, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar East, New Delhi, DL 110029, India
Abstract:Proximal tibial neuropathy is an uncommon focal mononeuropathy that is most often caused by trauma, ischemia, or neoplastic infiltration or compression of the tibial nerve. We report a patient who presented with a tibial neuropathy following a leg injury, which initially mimicked a lumbosacral radiculopathy but which was the result of a proximal tibial neuropathy. Electrophysiologic studies confirmed a proximal tibial neuropathy and MRI revealed a popliteus muscle hemorrhage with mass effect on the tibial nerve. Following conservative management the patient had little recovery of function after 15 months.
Keywords:Electromyography  Mononeuropathy  Nerve conduction studies  Popliteus muscle  Tibial neuropathy
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