{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:29:08Z","timestamp":1772166548420,"version":"3.50.1"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T00:00:00Z","timestamp":1712016000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T00:00:00Z","timestamp":1712016000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Perioper Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Unanticipated symptoms of peripheral nerve damage following surgery are distressing to both the patient and their clinical team, including surgeons, anesthesiologists, and neurologists. The causes that are commonly considered for perioperative neuropathy can include surgical trauma, positioning-related injury, or injury related to a regional anesthetic technique. However, these cases often do not have a clear etiology and can occur without any apparent periprocedural anomalies. Postoperative inflammatory neuropathy is a more recently described, and potentially underrecognized cause of perioperative neuropathy which may improve with corticosteroid therapy. Therefore, it is an important etiology to consider early in the evaluation of perioperative neuropathy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>An otherwise healthy patient presented for left anterior cruciate ligament reconstruction. He underwent femoral and sciatic ultrasound-guided single-injection peripheral nerve blocks preoperatively, followed by a general anesthetic for the surgical procedure. He developed postoperative neuropathy in the sciatic distribution with both sensory and motor deficits. The patient received multi-disciplinary consultations, including neurology and pain management, and a broad differential diagnosis was considered. Based on neurological evaluation and imaging studies, a final diagnosis of post-surgical inflammatory neuropathy was made. The patient\u2019s course improved with conservative management, but immunosuppressive treatment may have been considered for a more severe or worsening clinical course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There are limited publications describing postoperative inflammatory neuropathy, and this case serves to illustrate a potentially under-recognized and multifactorial cause of postoperative neuropathy. Perioperative neuropathies are a complication that surgeons and anesthesiologists strive to avoid; however, prevention and treatment of this condition have been elusive. Increased reporting and investigation of postoperative inflammatory neuropathy as one cause for this complication will help to further our understanding of this potentially devastating complication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13741-024-00384-w","type":"journal-article","created":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T04:01:55Z","timestamp":1712030515000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Post-surgical inflammatory neuropathy after anterior cruciate ligament repair: a case report"],"prefix":"10.1186","volume":"13","author":[{"given":"Lisa Y.","family":"Sun","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew T.","family":"Gray","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias R.","family":"Braehler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,2]]},"reference":[{"key":"384_CR1","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1097\/AAP.0b013e31821e6503","volume":"36","author":"KS Ahn","year":"2011","unstructured":"Ahn KS, Kopp SL, Watson JC, Scott KP, Trousdale RT, Hebl JR. Postsurgical inflammatory neuropathy. Reg Anesth Pain Med. 2011;36:403\u20135. https:\/\/doi.org\/10.1097\/AAP.0b013e31821e6503.","journal-title":"Reg Anesth Pain Med."},{"key":"384_CR2","doi-asserted-by":"publisher","first-page":"931","DOI":"10.1007\/s13760-017-0805-8","volume":"117","author":"A Cetiz","year":"2017","unstructured":"Cetiz A. Post-surgical focal inflammatory neuropathy of the sciatic nerve. Acta Neurol Belg. 2017;117:931\u20133. https:\/\/doi.org\/10.1007\/s13760-017-0805-8.","journal-title":"Acta Neurol Belg."},{"key":"384_CR3","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1016\/j.mayocp.2013.10.027","volume":"89","author":"RS Laughlin","year":"2014","unstructured":"Laughlin RS, Dyck PJ, Watson JC, et al. Ipsilateral inflammatory neuropathy after hip surgery. Mayo Clin Proc. 2014;89:454\u201361. https:\/\/doi.org\/10.1016\/j.mayocp.2013.10.027.","journal-title":"Mayo Clin Proc."},{"key":"384_CR4","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/j.jns.2013.11.035","volume":"337","author":"W Rattananan","year":"2014","unstructured":"Rattananan W, Thaisetthawatkul P, Dyck PJ. Postsurgical inflammatory neuropathy: a report of five cases. J Neurol Sci. 2014;337:137\u201340. https:\/\/doi.org\/10.1016\/j.jns.2013.11.035.","journal-title":"J Neurol Sci."},{"key":"384_CR5","doi-asserted-by":"publisher","first-page":"2866","DOI":"10.1093\/brain\/awq252","volume":"133","author":"J Engelstad","year":"2010","unstructured":"Staff NP, Engelstad J, Klein CJ, Amrami KK, Spinner RJ, Dyck PJ, et al. Post-surgical inflammatory neuropathy. Brain. 2010;133:2866\u201380. https:\/\/doi.org\/10.1093\/brain\/awq252.","journal-title":"Brain."},{"key":"384_CR6","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1016\/j.mayocp.2014.02.001","volume":"89","author":"ME Warner","year":"2014","unstructured":"Warner ME, Warner MA. Inflammatory neuropathy: a potentially treatable etiology for a subset of perioperative neuropathies. Mayo Clin Proc. 2014;89:434\u20136. https:\/\/doi.org\/10.1016\/j.mayocp.2014.02.001.","journal-title":"Mayo Clin Proc."}],"container-title":["Perioperative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13741-024-00384-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13741-024-00384-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13741-024-00384-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T04:19:43Z","timestamp":1712031583000},"score":1,"resource":{"primary":{"URL":"https:\/\/perioperativemedicinejournal.biomedcentral.com\/articles\/10.1186\/s13741-024-00384-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,2]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["384"],"URL":"https:\/\/doi.org\/10.1186\/s13741-024-00384-w","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-2371870\/v1","asserted-by":"object"}]},"ISSN":["2047-0525"],"issn-type":[{"value":"2047-0525","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,2]]},"assertion":[{"value":"13 December 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 April 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written consent from the patient was obtained for publication of this case report.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"26"}}