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A Woman with Leg Weakness after Delivery 

A Woman with Leg Weakness after Delivery

Chapter:
A Woman with Leg Weakness after Delivery
Author(s):

Janet Waters

DOI:
10.1093/med/9780190609917.003.0024
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date: 22 July 2017

This chapter on femoral neuropathy in pregnancy describes how to recognize the clinical syndrome of femoral neuropathy in the postpartum patient. Hallmarks of femoral neuropathy include legs buckling due to weakness in hip flexors and knee extensors, numbness and paresthesias in the anteromedial thigh, and reduced or absent patellar reflex. The chapter discusses how one can distinguish the disorder from other postpartum mononeuropathies, as well as from other, more ominous causes of postpartum leg weakness, such as epidural hematoma, retroperitoneal hematoma, anterior spinal artery syndrome, injury to the conus medullaris during administration of neuraxial block, and various obstetrical nerve injuries. Treatment and prognosis of femoral neuropathy are outlined.

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