Pé Pendente Bilateral Após Uso de Meias de Compressão

Marta Amaral Silva, Vítor Brás Silva, Jorge Rodrigues, Ana Catarina Miguéns, Elsa Marques

Resumo


As meias de compressão elástica constituem uma medida profilática da trombose venosa profunda no período pósoperatório, estando a sua eficácia bem documentada na literatura científica. A paralisia do nervo peroneal é a principal neuropatia compressiva do membro inferior e pode ter múltiplas etiologias sendo que a principal corresponde à compressão externa direta a nível do colo do perónio. Os autores relatam o caso de uma doente de 20 anos de idade, submetida a transplante hepático, com necessidade de permanência na Unidade de Cuidados Intensivos durante 25 dias, período após o qual se retiraram as meias de compressão de coxa, à data, enroladas até ao nível dos joelhos. Constatou-se lesão por pressão a nível do joelho e pé pendente bilateral. O estudo electrofisiológico foi compatível com polineuropatia sensitivo-motora grave. O presente artigo tem por objetivo reforçar a importância do reconhecimento precoce dos sintomas de lesão nervosa periférica, principalmente no doente crítico com múltiplas comorbilidades, cujo risco de lesão neurológica grave é muito superior.


Palavras-chave


Meias de Compressão; Transtornos Neurológicos da Marcha; Tromboembolia

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Referências


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DOI: http://dx.doi.org/10.25759/spmfr.259

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Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação