PT  - JOURNAL ARTICLE
AU  - Alsaqobi, Ameerah K.
AU  - Miskin, Brouj A.
AU  - Gopinath, Biju
AU  - Elgohary, Ghada
TI  - More than what meets the eye in COVID-19 critical illness: A case report of bilateral femoral neuropathy due to psoas hematomas
AID  - 10.17712/nsj.2024.2.20230072
DP  - 2024 Apr 01
TA  - Neurosciences Journal
PG  - 133--138
VI  - 29
IP  - 2
4099  - http://nsj.org.sa/content/29/2/133.short
4100  - http://nsj.org.sa/content/29/2/133.full
SO  - Neurosciences (Riyadh)2024 Apr 01; 29
AB  - Bilateral femoral neuropathy is rare, especially that caused by bilateral compressive iliopsoas, psoas, or iliacus muscle hematomas. We present a case of bilateral femoral neuropathy due to spontaneous psoas hematomas developed during COVID-19 critical illness. A 41-year-old patient developed COVID-19 pneumonia, and his condition deteriorated rapidly. A decrease in the hemoglobin level prompted imaging studies during his intensive care unit (ICU) stay. Bilateral psoas hematomas were identified as the source of bleeding. Thereafter, the patient complained of weakness in both upper and lower limbs and numbness in the lower limb. He was considered to have critical illness neuropathy and was referred to rehabilitation. Electrodiagnostic testing suggested bilateral femoral neuropathy because of compression due to hematomas developed during the course of his ICU stay. The consequences of iliopsoas hematomas occurring in the critically ill can be catastrophic, ranging from hemorrhagic shock to severe weakness, highlighting the importance of recognizing this entity.