Article type: Review Article
Article
title: Femoral
neuropathy after kidney transplantation: a literature review of case reports
and case series
Journal: Ibnosina
Journal of Medicine and Biomedical Sciences
Year: 2020
Authors: Jamir Pitton Rissardo, Ana Letícia Fornari Caprara
E-mail: jamirrissardo@gmail.com
ABSTRACT
Kidney transplant (KT) surgery can increase survival
probability more than any other transplant. In this context, neurological
complications could occur in an important percentage of individuals because
this surgery is considered one of the most common organ transplantations. One
rare type of neurological complication, which can occur after KT surgery, is
the femoral motor neuropathy. We aimed to evaluate the clinical epidemiological
profile and pathological mechanisms of femoral motor neuropathy after KT surgery.
Relevant reports in six databases were identified and reviewed by two reviewers
without language restriction. Seventeen reports of 183 cases from ten
countries, more one unpublished case from our institution were assessed. The
mean age was 39 years (range 5–69) with male sex (62.5%) and Asiatic origin
predominance. The central primary kidney disease leading to renal failure was
essential hypertension. The mean time from KT surgery to the onset of femoral
neuropathy was 1.78 days, and the time from the occurrence of neuropathy to
recovery was 6 months. The incidence of femoral neuropathy after KT surgery was
1.85%. The current review provides four possible mechanisms related to this
complication, but maybe these explanations lead to a misunderstanding of the
main risk factors for the development of femoral neuropathy. Furthermore,
studies with current surgical techniques should be investigated because most of
the data come from the old literature. Therefore, prospective studies and
reports assessing the graft-recipient ratio and management options should be
done.
Keywords: Femoral nerve, incidence, kidney
transplantation, literature review, neuropathy
Full text available at:
DOI
10.4103/ijmbs.ijmbs_86_20
Citation
Rissardo
JP, Caprara AL. Femoral neuropathy after
kidney transplantation: a literature review of case reports and case series.
Ibnosina J Med Biomed Sci 2020;12:153-61
