medigraphic.com
Academia Mexicana de Neurología, A.C.

2007, Number 2

<< Back Next >>

Rev Mex Neuroci 2007; 8 (2)

Meralgia paresthetica

Martínez F, Lyford-Pyke P, Piera S, Rodríguez C, Rega I

Language: Spanish
References: 33
Page: 205-210
PDF size: 119.71 Kb.


ABSTRACT

Introduction: Meralgia paresthetica is an entrapment neuropathy, caused by compression of lateral femoral cutaneous nerve, usually at the level of the inguinal ligament. This neuropathy is diagnosed clinically, and characterized by pain, paresthesia or burning sensation on anterolateral tight. Report of cases: We report six patients with meralgia paresthesica: 4 women and 2 men. Four of them have a history of abdominal surgery (inguinal herniorhaphy or histherectomy), one of the patients have a history of inguinal trauma and other was a diabetic. Four patients were treated by anesthetic and corticosteroids injection medial and below the anterosuperior iliac spine, one received a neurolisis procedure of the lateral cutaneous nerve, and one was treated with non steroidal analgesics and application of ice in the affected area. All patients have excellent results with a minimum of three months follow-up. Conclusions: Meralgia paresthetica is a rare entrapment neuropathy, and most patients only require medical treatment.


REFERENCES

  1. Rengachary SS. Entapment neuropathies. In: Rengachary SS, Wilkins RH. Principles of neurosurgery. Hong Kong: Mosby Wolfe; 1994; p. 23.1-23.12.

  2. Haim A, Pritsch T, Ben-Galim P, Dekel S. Meralgia paresthetica. A retrospective analysis of 79 patients evaluated and treated according to a standard algorithm. Acta Ortop 2006; 77(3): 482-6.

  3. Sinson G, Zager EL. Entrapment Neuropaties. In: Tindall GT, Cooper PR, Barrow DL (Eds.). The practice of Neurosurgery. Philadelphia: Williams and Wilkins; 1985, p. 2923-46.

  4. Edelson R, Stevens P. Meralgia paresthetica in children. J Bone Joint Surg 1994; 76A(7): 993-9.

  5. Windsor RE, Thampi S. Migrating opiate pump: atypical cause of meralgia paresthetica. Pain Physician 2003; 6: 495- 7.

  6. Ivins GK. Meralgia persthetica, the elusive diagnosis. Clinical experience with 14 adult patients. Ann Surg 2000; 232: 281-6.

  7. Mc Gillicudy JE, Harrigan MR. Meralgia parethetica. Techn Neurosurg 2000; 6(1): 50-6.

  8. Maggiolo AC. Meralgia Parestésica. Rev Med Uruguay 1903; 6(8): 274-8.

  9. Siu TLT, Chandran KN. Neurolysis for meralgia paresthetica: an operative series of 45 cases. Surg Neurol 2005; 63: 19- 23.

  10. Greenberg MS. Handbook of neurosurgery. 6th Ed. New York: Thieme; 2006, p. 573-4.

  11. Barna SA, Hu M, Buxo C, Trella J, Cosgrove GR. Spinal cord stimulation for treatment of meralgia paresthetica. Pain Physician 2005; 8: 315-18.

  12. Placide RJ, Mazenac DJ. Spinal masqueraders. Nonspinal conditions mimicking spine pathology. In: Benzel EC (Ed.). Spine surgery. Techniques, complication avoidance, and management. 2nd Ed. Philadelphia: Elsevier; 2005, p. 144- 59.

  13. Katirji B. Electrodiagnostic approach to the patient with suspected mononeuropathy of the lower extremity. Neurol Clin NA 2002; 20: 479-501.

  14. Schwartzman R, Maleki J. Postinjury neuropathic syndromes. Med Clin NA 1999; 83(3): 597-626.

  15. Rotenberg AS. Bilateral meralgia paresthetica associated with pelvic inflammatory disease. Can Med Assoc J 1990; 142(1): 42-3.

  16. Erbay H. Meralgia paresthetica in differential diagnosis of low-back pain. Clin J Pain 2002; 18: 132-5.

  17. Iváñez V, Ortega-Casarrubios MA. Meralgia paresthetica is not always an entrapment neuropathy. J Fam Pract 2004; 53(5): 420 (letter).

  18. Shapiro BE, Preston DC. Entrapment and compressive neuropaties. Med Clin N Am 2003; 87: 663-96.

  19. Thoma A, Levis C. Compression neuropathies of the lower extremity. Clin Plastic Surg 2003; 30; 189-201.

  20. Yamamoto T, Nagira K, Kurosaka M. Meralgia paresthetica occurring 40 year after iliac bone graft harvesting. Case report. Neurosurgery 2001; 49: 1455-7.

  21. Yang SH, Wu CC, Chen PQ. Postoperative meralgia paresthetica after posterior spine surgery. Incidence, risk factors and clinical outcomes. Spine 2005; 30(18): E547- E550.

  22. Winfree CJ, Kline DG. Intraoperative positioning nerve injuries. Surg Neurol 2005; 63: 5-18.

  23. Williams PH, Trzil KP. Management of meralgia paresthetica. J Neurosurg 1991; 74: 76-80.

  24. Younger DS. Entrapment neuropathies. Prim Care Clin Office Pract 2004; 31: 53-65.

  25. Tindall SC. Surgical management of thoracic outlet syndrome and peripheral entrapment neuropathies. In: Schmidek HH (Ed.). Operative neurosurgical techniques. Indications, methods and results. Philadelphia: WB Saunders; 2000, p. 2377-87.

  26. Boone DW. Complications of iliac crest graft and bone grafting alternatives in foot and ankle surgery. Foot Ankle Clin N Am 2003; (8): 1-14.

  27. Stewart JD. Bilateral meralgia paresthetica and PID. Can Med Assoc J 1990; 143(2): 90 (Letter).

  28. Dias Filho LC, Valença MM, Guimaraes Filho FAV, Medeiros RC, Silva RAM, Morais MGV, Valente FP, França SML. Lateral femoral cutaneous nerve neuralgia: an anatomical insight. Clin Anat 2003; 16: 309-16.

  29. Korkmaz N, Ozcakar L. Meralgia parethetica in a policeman: the belt or the gun. Plast Reconst Surg 2004; 114(4): 1012-13.

  30. van Eerten PV, Polder TW, Broere CAJ. Operative treatment of meralgia paresthetica: transection versus neurolysis. Neurosurgery 1995; 37(1): 63-5.

  31. Aldrich EF, van den Heever CM. Suprainguinal ligament approach for surgical treatment of meralgia paresthetica. J Neurosurg 1989; 70: 492-4.

  32. Keegan JJ, Holyoke EA. Meralgia paresthetica. An anatomical and surgical study. J Neurosurg 1962; 19: 341-5.

  33. Marques de Almeida Holanda M, Mororó Meira U, de Oliveira Magalhaes FN, Gonçalves da Silva JA. Tratamento cirúrgico da meralgia parestésica. Relato de caso. Arq Neurospiquiatr 2003; 61(2A): 288-90.




2020     |     www.medigraphic.com