A Case of Bilateral Sciatic Neuropathy Caused by Lotus Position

가부좌에 의해 발생한 양측성 좌골신경병증 1예

Kim, Dong-Hwan;Kwon, Oh-Young;Kim, Young-Soo;Kim, Seon-Hye;Son, Seung-Nam;Park, Ki-Jong;Choi, Nack-Cheon;Lim, Byeong-Hoon
김동환;권오영;김영수;김선혜;손승남;박기종;최낙천;임병훈

  • Published : 20040800

Abstract

The prolonged pressure against the buttock or posterior thigh may cause the stretch or direct compression of the sciatic nerve. A sixty-year old man fell asleep, heavily inebriated in the lotus position, and developed paralysis, paresthesia and sensory loss in both lower extremities on awakening after 10 hours of sleep. A nerve conduction study and electromyography revealed bilateral sciatic neuropathy. The symptoms gradually recovered spontaneously. Stayng in the lotus position for a long time in a drunken stupor can damage the sciatic nerve bilaterally.

Keywords

References

  1. Stewart JD, Angus E, Gendron D. Sciatic neuropathies. Br Med J 1983;287:1108-1109. https://doi.org/10.1136/bmj.287.6399.1108
  2. Tyrrell PJ, Feher MD, Rossor MN. Sciatic nerve damage due to toilet seat entrapment: another Saturday night palsy. J Neurol Neurosurg Psychiatry 1989;52:1113-1115.
  3. Vogel CM, Albin R, Albers JW. Lotus footdrop: sciatic neuropathy in the thigh. Neurology 1991;41:605-606. https://doi.org/10.1212/WNL.41.4.605
  4. Kornetzky L, Linden D, Berlit P. Bilateral sciatic nerve 'Saturday night palsy.' J Neurol 2001;248:425.
  5. Poppi M, Giuliani G, Gambari PI, Acciarri N, Gaist G, Calbucci F. A hazard of craniotomy in the sitting position: the posterior compartment syndrome of the thigh. J Neurosurg 1989;71:618-619. https://doi.org/10.3171/jns.1989.71.4.0618
  6. Ku A, Nagler W. Bilateral proximal sciatic neuropathy caused by a fall. Muscle Nerve 1996;19:113.
  7. Dawson DM, Hallett M, Wilbourn AJ. Entrapment neuropathy. 3rd ed. Philadelphia: Lippincott-Raven, 1999;264-269.
  8. Reinstein L, Eckholdt JW. Sciatic nerve compression by preexisting heterotopic ossification during general anesthesia in the dorsal lithotomy position. Arch Phys Med Rehabil 1983;64:65-68.
  9. Keykhah MM, Rosenberg H. Bilateral footdrop after craniotomy in the sitting position. Anesthesiology 1979;51:163-164. https://doi.org/10.1097/00000542-197908000-00016