{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T13:24:56Z","timestamp":1787405096775,"version":"build-2736575974"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Obstet Med"],"abstract":"<jats:p>\n                    Hereditary neuropathy with liability to pressure palsies (HNPP) is an autosomal dominant disorder caused by a\n                    <jats:italic toggle=\"yes\">PMP22<\/jats:italic>\n                    gene deletion (or mutations), characterized by recurrent, compression-induced mononeuropathies. Postpartum neurological complications are relatively common, but HNPP is rarely considered in their differential diagnosis. We report a case of a 38-year-old woman who developed acute painless bilateral lower limb paralysis following vaginal delivery complicated by prolonged lithotomy positioning and vacuum extraction. Electroneuromyography revealed a demyelinating sensorimotor polyneuropathy with conduction block at the fibular neck, and genetic testing confirmed HNPP. This case underscores the importance of recognizing HNPP as a cause of postpartum paralysis, particularly in patients with a family history of recurrent nerve palsies. Multidisciplinary management, including genetic counseling and tailored obstetric planning for future pregnancies, is essential to optimize outcomes.\n                  <\/jats:p>","DOI":"10.1177\/1753495x261478153","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:59:17Z","timestamp":1787237957000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["When childbirth triggers a hidden neuropathy: hereditary neuropathy with liability to pressure palsies revealed by postpartum paralysis"],"prefix":"10.1177","author":[{"given":"Paula","family":"Peydro-Lavoie","sequence":"first","affiliation":[{"name":"University Hospital (CHU) of Bordeaux"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwendal","family":"Le Masson","sequence":"additional","affiliation":[{"name":"University Hospital (CHU) of Bordeaux"},{"name":"Neuromuscular Pathologies Reference Center, University Hospital (CHU) of Bordeaux, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0775-4625","authenticated-orcid":false,"given":"St\u00e9phane","family":"Mathis","sequence":"additional","affiliation":[{"name":"University Hospital (CHU) of Bordeaux"},{"name":"Neuromuscular Pathologies Reference Center, University Hospital (CHU) of Bordeaux, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"279","article-title":"Incidence of postpartum lumbosacral spine and lower extremity nerve injuries","volume":"101","author":"Wong CA","year":"2003","unstructured":"Wong CA, Scavone BM, Dugan S, et al. Incidence of postpartum lumbosacral spine and lower extremity nerve injuries. Obstet Gynecol Feb 2003; 101: 279\u2013288.","journal-title":"Obstet Gynecol"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-024-12839-7"},{"key":"e_1_3_2_4_2","article-title":"Pregnancy and hereditary neuropathy with liability to pressure palsies: a case report and narrative review of the literature","volume":"16","author":"Sudhakar VP","year":"2024","unstructured":"Sudhakar VP, Sabu J, Boatin B, et al. Pregnancy and hereditary neuropathy with liability to pressure palsies: a case report and narrative review of the literature. Cureus 2024; 16: e61236.","journal-title":"Cureus"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.52312\/jdrs.2025.2242"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.4264-09.2010"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1179\/1743132814Y.0000000411"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-025-08534-8"}],"container-title":["Obstetric Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753495X261478153","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753495X261478153","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753495X261478153","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T13:17:51Z","timestamp":1787404671000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753495X261478153"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,20]]},"references-count":7,"alternative-id":["10.1177\/1753495X261478153"],"URL":"https:\/\/doi.org\/10.1177\/1753495x261478153","relation":{},"ISSN":["1753-495X","1753-4968"],"issn-type":[{"value":"1753-495X","type":"print"},{"value":"1753-4968","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,20]]},"article-number":"1753495X261478153"}}