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Meralgia paresthetica

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https://www.readbyqxmd.com/read/28192874/lateral-femoral-cutaneous-nerve-transposition-renaissance-of-an-old-concept-in-the-light-of-new-anatomy
#1
Amgad Hanna
INTRODUCTION: Meralgia paresthetica causes pain in the anterolateral thigh. Most surgical procedures involve nerve transection or decompression. We conducted a cadaveric study to determine the feasibility of lateral femoral cutaneous nerve (LFCN) transposition. MATERIALS AND METHODS: In three cadavers, the LFCN was exposed in the thigh and retroperitoneum. The two layers of the LFCN canal superficial and deep to the nerve were opened. The nerve was then mobilized medially away from the ASIS, by cutting the septum medial to sartorius...
February 13, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28112483/ultrasound-guided-diagnosis-and-injection-of-the-lateral-femoral-cutaneous-nerve-with-an-anatomical-variation
#2
Deniz Palamar, Rana Terlemez, Kenan Akgun
Meralgia paresthetica (MP) is an entrapment neuropathy of the lateral femoral cutaneous nerve (LFCN). There are many variations in the course of the LFCN. A 55-year-old woman presented with pain and tingling sensations on the anterolateral aspect of her left thigh. Physical examination revealed hypoesthesia of the proximal anterolateral thigh on the left side. During the electrodiagnostic study, sensory nerve action potential of the LFCN could not be obtained on both sides. Through those clinical and electrophysiological findings, we prediagnosed the case as MP and planned to perform diagnostic nerve block...
January 23, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28002867/update-on-ultrasound-guided-interventional-procedures-on-peripheral-nerves
#3
Alberto Tagliafico, Bianca Bignotti, Carlo Martinoli
This article is a practical review update on ultrasound (US)-guided interventional procedures on peripheral nerves. Technical considerations, biopsy techniques, and some examples of injections are described. US is considered a safe imaging guidance for interventional procedures, due to its high spatial resolution and the possibility to image the needle and inject drugs in real time. US-guided injections could be considered a diagnostic and therapeutic option in the most common neuropathy, before or as an alternative to surgery...
November 2016: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/27941441/live-donors-of-the-initial-observational-study-of-uterus-transplantation-psychological-and-medical-follow-up-until-1-year-after-surgery-in-the-9-cases
#4
Niclas Kvarnström, Stina Järvholm, Liza Johannesson, Pernilla Dahm-Kähler, Michael Olausson, Mats Brännström
BACKGROUND: The first prospective observational study of uterus transplantation was initiated in 2013 with live donation to 9 women with absolute uterine factor infertility. We explored the medical complications and psychosocial wellbeing of the donors during the first postoperative year. METHODS: Complications were registered and graded according to the Clavien-Dindo (C-D) classification. Symptoms related to the surgery were registered. Data on length of hospital stay, sick leave, socioeconomic parameters, and life events were obtained...
March 2017: Transplantation
https://www.readbyqxmd.com/read/27867513/ultrasound-guided-alcohol-neurolysis-of-lateral-femoral-cutaneous-nerve-for-intractable-meralgia-paresthetica-a-case-series
#5
Arif Ahmed, Divesh Arora, Amit Kumar Kochhar
Meralgia paresthetica is a rare sensory entrapment neuropathy which leads to burning, tingling and numbness in the antero-lateral aspect of thigh. Mostly it runs a benign course, and responds to conservative measures. We present a case series of six patients with intractable meralgia paresthetica with severe pain over antero-lateral thigh along the distribution of lateral cutaneous nerve of thigh which was further confirmed by nerve conduction study. These patients did not respond to the oral anti-neuropathic medications...
November 2016: British Journal of Pain
https://www.readbyqxmd.com/read/27752369/meralgia-paresthetica-after-prone-positioning-ventilation-in-the-intensive-care-unit
#6
Christian Svendsen Juhl, Martin Ballegaard, Morten H Bestle, Peer Tfelt-Hansen
Meralgia paresthetica (MP) is a mononeuropathy of the lateral femoral cutaneous nerve (LFCN) caused by external compression of the nerve during its course close to the anterior superior iliac spine. We present a case of a patient with acute respiratory distress induced by Legionella pneumonia who was admitted to the intensive care unit (ICU) for mechanical ventilation. In the ICU, the patient received one session of prone position ventilation for 8.5 consecutive hours. At evaluation six months later, the patient reported persistent bilateral numbness of the anterolateral thigh, which he complained had begun right after he woke up at the ICU...
2016: Case Reports in Critical Care
https://www.readbyqxmd.com/read/27747693/use-of-a-trephine-bur-and-curette-for-minimally-invasive-harvesting-of-particulate-cancellous-bone-and-marrow-from-the-iliac-crest-a-case-of-alveolar-ridge-reconstruction
#7
Yukimori Isoda, Eisaku Imamura, Daisuke Ueno, Tsubasa Akaike, Yoshiki Hamada
Iliac particulate cancellous bone and marrow (PCBM) is still the most predictable autogenous graft material for vertical ridge reconstruction because of its high cell content as well as osteoinductive and osteoconductive properties. However, postoperative meralgia paresthetica, gait disturbance, pain, and bleeding have been reported following conventional harvesting from the anterior iliac crest. We present a case of minimally invasive harvesting of iliac PCBM. A short incision was made, and the iliac crest was exposed after elevation of the periosteal membrane...
December 2016: International Journal of Implant Dentistry
https://www.readbyqxmd.com/read/27659177/can-a-tarlov-s-cyst-radiculopathy-simulate-meralgia-paresthetica
#8
Domenico Chirchiglia, Attilio Della Torre, Francesco Lavano, Angelo Lavano
No abstract text is available yet for this article.
September 23, 2016: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/27555210/interventional-and-multimodal-pain-rehabilitation-in-a-child-with-meralgia-paresthetica
#9
Andrew D Franklin, G Bennett Cierny, Twila R Luckett
Meralgia paresthetica is a chronic pain syndrome that is extremely rare in the pediatric population. It is manifested by hypesthesia or pain in the distribution of the lateral femoral cutaneous nerve (LFCN) and is typically caused by entrapment as the nerve passes deep to the inguinal ligament. This sensory mononeuropathy is rare in children and diagnosis is typically delayed, often leading to prolonged functional impairment and unnecessary medical testing. A 9-year-old girl presented to the pain clinic with a 6-week history of right anterolateral thigh pain first noticed after a nontraumatic cheerleading practice...
September 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27552390/meralgia-paresthetica-in-subcutaneous-interferon-alpha-treatment
#10
Samuel Arends, Paul Willem Wirtz
No abstract text is available yet for this article.
September 2016: Journal of Clinical Neuromuscular Disease
https://www.readbyqxmd.com/read/27543938/anatomy-of-the-lateral-femoral-cutaneous-nerve-relevant-to-clinical-findings-in-meralgia-paresthetica
#11
Shin-Hyo Lee, Kang-Jae Shin, Young-Chun Gil, Tae-Jun Ha, Ki-Seok Koh, Wu-Chul Song
INTRODUCTION: Compression of the lateral femoral cutaneous nerve (LFCN), known as meralgia paresthetica (MP), is common. We investigated the topographic anatomy of the LFCN focusing on the inguinal ligament and adjacent structures. METHODS: Distances from various bony and soft-tissue landmarks to the LFCN were investigated in 33 formalin-embalmed cadavers. RESULTS: The mean distance from the anterior superior iliac spine (ASIS) to the LFCN was 8...
August 20, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27228536/ultrasound-guided-diagnosis-and-treatment-of-meralgia-paresthetica
#12
Sule Sahin Onat, Ayse Merve Ata, Levent Ozcakar
Meralgia paresthetica refers to the entrapment of the lateral femoral cutaneous nerve at the level of the inguinal ligament. The lateral femoral cutaneous nerve - a purely sensory nerve - arises from the L2 and L3 spinal nerve roots, travels downward lateral to the psoas muscle, and then crosses the iliacus muscle. Close to the anterior superior iliac spine, the nerve courses in contact with the lateral aspect of the inguinal ligament and eventually innervates the lateral thigh. The entrapment syndrome is usually idiopathic but can also ensue due to trauma/overuse, pelvic and retroperitoneal tumors, stretching of the nerve due to prolonged leg/trunk hyperextension, leg length discrepancies, prolonged standing, external compression by belts, weight gain, and tight clothing...
2016: Pain Physician
https://www.readbyqxmd.com/read/27209566/technical-feasibility-of-robot-assisted-minimally-invasive-neurolysis-of-the-lateral-cutaneous-nerve-of-thigh-about-a-case
#13
A Bruyere, J J Hidalgo Diaz, P Vernet, S Salazar Botero, S Facca, P-A Liverneaux
To limit the risk of iatrogenic neuroma and recurrence after surgical treatment of meralgia paresthetica, some authors have recently developed a technique of endoscopic neurolysis of the lateral cutaneous nerve of thigh (LCNT) below the level of the inguinal ligament. We report the case of a robot-assisted endoscopic technique underneath the inguinal ligament. A 62-year-old patient suffering of idiopathic meralgia paresthetica for the past 18 months received a Da Vinci robot-assisted minimally-invasive 10cm long neurolysis, of which 1/3 was situated above the level of the inguinal ligament and 2/3 below it...
December 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27104839/the-lateral-femoral-cutaneous-nerve-canal
#14
Amgad Hanna
OBJECTIVE Meralgia paresthetica causes dysesthesias and burning in the anterolateral thigh. Surgical treatment includes nerve transection or decompression. Finding the nerve in surgery is very challenging. The author conducted a cadaveric study to better understand the variations in the anatomy of the lateral femoral cutaneous nerve (LFCN). METHODS Twenty embalmed cadavers were used for this study. The author studied the LFCN's relationship to different fascial planes, and the distance from the anterior superior iliac spine (ASIS)...
April 22, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27008291/clinical-efficacy-of-pulsed-radiofrequency-neuromodulation-for-intractable-meralgia-paresthetica
#15
Jae Jun Lee, Jong Hee Sohn, Hyuk Jai Choi, Jin Seo Yang, Kwang Ho Lee, Hye Jin Do, Sung Ho Lee, Yong Jun Cho
BACKGROUND: Meralgia paresthetica (MP) is a neurologic disorder of the lateral femoral cutaneous nerve (LFCN), which is characterized by a localized area of paresthesia and numbness on the anterolateral aspect of the thigh. In most patients with MP, symptoms can be successfully managed with conservative treatment. However, in a small group of MP patients who are refractory to medical treatment, more aggressive low-risk treatment should be considered. OBJECTIVE: The objective of this study was to evaluate clinical outcomes of pulsed radiofrequency (PRF) neuromodulation of the LFCN in MP patients refractory to conservative treatment...
March 2016: Pain Physician
https://www.readbyqxmd.com/read/26800390/skin-biopsy-in-assessing-meralgia-paresthetica
#16
Arada Wongmek, Susan Shin, Lan Zhou
INTRODUCTION: Meralgia paresthetica is a focal neuropathy caused by compression of the lateral femoral cutaneous nerve (LFCN). The disease can be difficult to assess by neurophysiological or imaging studies. METHODS: We studied 5 patients who presented to our neuromuscular clinic from April 2012 to December 2014 with a clinical suspicion of meralgia paresthetica and had skin biopsies with intraepidermal nerve fiber density (IENFD) evaluation. RESULTS: The mean age at onset was 37...
April 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/26775772/neurocutaneous-disease-neurocutaneous-dysesthesias
#17
REVIEW
Nora K Shumway, Emily Cole, Kristen Heins Fernandez
Dysesthesia is a generic term for a cutaneous symptom--such as pruritus, burning, tingling, stinging, anesthesia, hypoesthesia, tickling, crawling, cold sensation, or even pain--without a primary cutaneous condition in a well-defined location that is often caused by nerve trauma, impingement, or irritation. There are multiple types of dysesthesias depending on the body location and the nerves involved. While location, exact symptoms, and etiologies might vary, the underlying theme is that these conditions are of neurologic origin and have dermatologic consequences...
February 2016: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/26661478/meralgia-paresthetica-after-the-fragmentation-of-renal-stone-using-extracorporeal-shock-wave-lithotripsy-a-case-report
#18
LETTER
Serdar Taşdemir, Ümit Hıdır Ulaş, Mehmet Yücel, Ahmet Çetiz
No abstract text is available yet for this article.
September 2016: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/26633677/a-heavy-protection
#19
Clément Derkenne, Antoine Lamblin, Xavier Demaison, Adrien Darléguy
The wearing of individual protective elements has revolutionized the typology of war wounds. The benefit/risk ratio is particularly satisfying, but several side effects with minor consequences are described, calling for further ergonomic development from manufacturers of these protective elements. This case report describes a meralgia paresthetica by compression of the lateral cutaneous thigh nerve because of the wearing of bulletproof vest. A symptomatic treatment was introduced, and 2 months after the apparition of the symptoms, the patient's condition has improved, with only a slight hypoesthesia remaining...
December 2015: Military Medicine
https://www.readbyqxmd.com/read/26439918/prevalence-of-peripheral-nervous-system-complications-after-major-heart-surgery
#20
Armando Gavazzi, Francesca de Rino, Maria Claudia Boveri, Anna Picozzi, Massimo Franceschi
We evaluated 374 consecutive patients from May 2013 to April 2014 who underwent major cardiac surgery. Each patient had an interview and a neurological clinical examination during the rehabilitation period. Patients with possible peripheral nervous system (PNS) complications underwent further electrodiagnostic tests. Among 374 patients undergoing major heart surgery (coronary artery bypass grafting, valvular heart surgery, ascending aortic aneurysm repair) 23 (6.1 %) developed 34 new PNS complications. We found four brachial plexopathies; four carpal tunnel syndromes; five critical illness neuropathies; three worsening of pre-existing neuropathies; two involvement of X, one of IX and one of XII cranial nerves; three peroneal (at knee), one saphenous, two median (at Struthers ligament), six ulnar (at elbow) mononeuropathies; two meralgia parestheticas...
February 2016: Neurological Sciences
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