Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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Immobilization-induced rhabdomyolysis patients with peripheral neuropathy: clinical, laboratory and imaging findings

  • Seok, Jung Im (Department of Neurology, Catholic University of Daegu School of Medicine) ;
  • Lee, In Hee (Department of Nephrology, Catholic University of Daegu School of Medicine) ;
  • Ahn, Ki Sung (Department of Nephrology, Catholic University of Daegu School of Medicine) ;
  • Kang, Gun Woo (Department of Nephrology, Catholic University of Daegu School of Medicine) ;
  • Lee, Je Wan (Department of Neurology, Catholic University of Daegu School of Medicine) ;
  • Kwak, Sanggyu (Medical Statistics & Informatics, Catholic University of Daegu School of Medicine)
  • Received : 2019.07.18
  • Accepted : 2019.10.29
  • Published : 2020.04.30
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Abstract

Background: Peripheral nerve injury rarely occurs in patients with rhabdomyolysis. Based on our experience and previous reports, we consider prolonged immobilization a risk factor for the development of peripheral neuropathy in rhabdomyolysis patients. Methods: This study analyzed 28 patients with rhabdomyolysis due to prolonged immobilization. We analyzed their demographic and laboratory data, clinical and imaging findings, and outcomes, and compared these factors between patients with and without neuropathy. Results: Seven of the 28 patients had peripheral neuropathy, including sciatic neuropathy or lumbosacral plexopathy. Compared to those without neuropathy, the patients with neuropathy were younger (p = 0.02), had higher peak creatine kinase (CK) levels (p = 0.02), had higher muscle uptake in bone scans (p = 0.03), and more frequently exhibited abnormal muscle findings in computed tomography (CT) (p = 0.004). Conclusions: Patients with prolonged immobilization-induced rhabdomyolysis and neuropathy had higher CK levels, increased uptake on bone scans, and more-frequent abnormal muscles on CT than those without neuropathy. These findings indicate that peripheral neuropathy is more likely to develop in patients with severe muscle injury.

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References

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