Bilateral femoral neuropathy after massive toxic ingestion in a suicide attempt

Neurologist. 2012 Mar;18(2):70-2. doi: 10.1097/NRL.0b013e318247b9bf.

Abstract

Introduction: Bilateral femoral nerve injury can occur after various surgical and nonsurgical processes, but has rarely been reported.

Case report: We describe a case of bilateral femoral neuropathy after a suicide attempt in a 41-year-old woman. We suggest a stretch mechanism to explain this observation. We also discuss the other causes of bilateral nerve palsy, usually secondary to a compressive injury, with a review of the medical literature.

Conclusions: The patient reported is the first in the literature to have suffered from bilateral femoral nerve palsy after a suicide attempt. Half of the reported cases are secondary to a surgical process (particularly abdominopelvic surgery). If a compressive origin is most frequent, a stretch mechanism may at times explain a bilateral femoral neuropathy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Anxiety Agents / poisoning
  • Female
  • Femoral Nerve / injuries*
  • Femoral Nerve / pathology
  • Femoral Nerve / physiopathology*
  • Femoral Neuropathy / diagnosis
  • Femoral Neuropathy / etiology*
  • Femoral Neuropathy / physiopathology*
  • Humans
  • Suicide, Attempted*
  • Unconsciousness / chemically induced
  • Unconsciousness / complications*

Substances

  • Anti-Anxiety Agents