Femoral neuropathy: the role of computed tomography in diagnosis and management in 27 patients

The computed tomography findings in 27 patients with an ultimate diagnosis of femoral neuropathy were reviewed. Haemorrhagic disorders were responsible for the neuropathy in 10 patients, neoplasia in eight, infection in five and in the remaining four patients no abnormality was noted on CT and the a...

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Veröffentlicht in:Clinical radiology 1989, Vol.40 (1), p.30-34
Hauptverfasser: Apter, S., Hertz, M., Rubinstein, Z.J., Morag, B.
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container_issue 1
container_start_page 30
container_title Clinical radiology
container_volume 40
creator Apter, S.
Hertz, M.
Rubinstein, Z.J.
Morag, B.
description The computed tomography findings in 27 patients with an ultimate diagnosis of femoral neuropathy were reviewed. Haemorrhagic disorders were responsible for the neuropathy in 10 patients, neoplasia in eight, infection in five and in the remaining four patients no abnormality was noted on CT and the aetiology remained uncertain. Unilateral enlargement of the iliopsoas muscle or a soft tissue mass involving the iliopsoas compartment was noted in the 23 patients with positive studies. The exact nature of the mass could not be determined by CT alone, but, when considered together with clinical history and examination, a definitive diagnosis was possible in most instances. Whenever necessary, percutaneous needle biopsy or drainage was performed. Computed tomography should be performed at an early stage in all patients suspected of femoral neuropathy. It accurately demonstrates and delineates retroperitoneal masses causing this condition and allows further definitive diagnostic procedures such as biopsy or drainage to be performed when necessary.
doi_str_mv 10.1016/S0009-9260(89)80014-5
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Haemorrhagic disorders were responsible for the neuropathy in 10 patients, neoplasia in eight, infection in five and in the remaining four patients no abnormality was noted on CT and the aetiology remained uncertain. Unilateral enlargement of the iliopsoas muscle or a soft tissue mass involving the iliopsoas compartment was noted in the 23 patients with positive studies. The exact nature of the mass could not be determined by CT alone, but, when considered together with clinical history and examination, a definitive diagnosis was possible in most instances. Whenever necessary, percutaneous needle biopsy or drainage was performed. Computed tomography should be performed at an early stage in all patients suspected of femoral neuropathy. 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Haemorrhagic disorders were responsible for the neuropathy in 10 patients, neoplasia in eight, infection in five and in the remaining four patients no abnormality was noted on CT and the aetiology remained uncertain. Unilateral enlargement of the iliopsoas muscle or a soft tissue mass involving the iliopsoas compartment was noted in the 23 patients with positive studies. The exact nature of the mass could not be determined by CT alone, but, when considered together with clinical history and examination, a definitive diagnosis was possible in most instances. Whenever necessary, percutaneous needle biopsy or drainage was performed. Computed tomography should be performed at an early stage in all patients suspected of femoral neuropathy. 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Olfaction</subject><subject>Female</subject><subject>Femoral Nerve - diagnostic imaging</subject><subject>Hemorrhage - complications</subject><subject>Humans</subject><subject>Kidney Neoplasms - complications</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Peripheral Nervous System Diseases - diagnostic imaging</subject><subject>Peripheral Nervous System Diseases - etiology</subject><subject>Tomography, X-Ray Computed</subject><subject>Uterine Cervical Neoplasms - complications</subject><issn>0009-9260</issn><issn>1365-229X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1r3DAQhkVJSDdJf0JAh1KagxNJtiWrl1BCtw0EckgCPVVMpPGuim25kl3Yfx9tdtlrTsPwPvPBQ8gFZ1eccXn9yBjThRaSfW30ZcMYr4r6A1nwUtaFEPr3EVkckI_kNKW_27YS1Qk5EXWpFGML8meJfYjQ0QHnGEaY1ptvdFojjaFDGlpqQz_OEzo6hT6sIozrDfUDdR5WQ0g-URgc7WGAFfY4TNtMKJoX-dylc3LcQpfw076ekeflj6fbX8X9w8-72-_3hS0bPRUlt_hSAc-fOrClsBp5i1JVbaXQIdNMMadANBVvawWV0hqAN60EgaysWXlGvuz2jjH8mzFNpvfJYtfBgGFORjWNVIKrDNY70MaQUsTWjNH3EDeGM7P1at68mq0002jz5tXUee5if2B-6dEdpvYic_55n0Oy0LURBuvTAZNKaiFkxm52GGYZ_z1Gk2wWZdH5iHYyLvh3HnkFUniUqg</recordid><startdate>1989</startdate><enddate>1989</enddate><creator>Apter, S.</creator><creator>Hertz, M.</creator><creator>Rubinstein, Z.J.</creator><creator>Morag, B.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1989</creationdate><title>Femoral neuropathy: the role of computed tomography in diagnosis and management in 27 patients</title><author>Apter, S. ; Hertz, M. ; Rubinstein, Z.J. ; Morag, B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-31ceb4a1260dac32c9e1fe674f47ede09070d7a2841f57a4799aa18f6a2e03503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Renal Cell - complications</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cranial nerves. 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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adolescent
Adult
Aged
Biological and medical sciences
Carcinoma, Renal Cell - complications
Child
Child, Preschool
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Female
Femoral Nerve - diagnostic imaging
Hemorrhage - complications
Humans
Kidney Neoplasms - complications
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurology
Peripheral Nervous System Diseases - diagnostic imaging
Peripheral Nervous System Diseases - etiology
Tomography, X-Ray Computed
Uterine Cervical Neoplasms - complications
title Femoral neuropathy: the role of computed tomography in diagnosis and management in 27 patients
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