medigraphic.com
ISSN 1025-0255 (Electronic)

2019, Number 1

<< Back Next >>

AMC 2019; 23 (1)

Meralgia paresthetica

Hernández-González EH, Mosquera-Betancourt G

Language: Spanish
References: 34
Page: 131-143
PDF size: 547.68 Kb.


ABSTRACT

Background: meralgia paresthetica is an entrapment mononeuropathy which cause pain, paresthesias and sensory loss within the distribution of the lateral cutaneous nerve of the thigh.
Objective: to update and to deepen in the most important aspects of meralgia paresthetica.
Methods: a revision of the literature was made in English and Spanish, available in PubMed Central, Hinari and SciELO. The following descriptors were used: meralgia paresthetica, mononeuropathy, lateral cutaneous nerve of the thigh. Base on the obtained data, a bibliographic revision was made of 107 published articles, including 34 cites selected for the research, 24 of them of the last five years.
Development: it was focus in those controversial topics like: anatomic characteristics, etiological factors, clinical presentation, complementary studies and treatment.
Conclusions: meralgia paresthetica is a medical challenge; due to it can simulate common illness like lumbar disorders. It is a self limited disease which is diagnosed basing on a high suspicious index with an adequate knowledge of the anatomy, physiopathology, etiological factors and clinical elements. The treatment, although with lack of consensus, offers favorable results in most of the patients.


REFERENCES

  1. Cheatham SW, Kolber MJ, Salamh PA. Me-ralgia paresthetica: A review of the literature. Int J Sports Phys Ther [Internet]. 2013 Dec [citado 14 Abr 2018];8(6):[aprox. 10 p.]. Dis-ponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3867081/.

  2. Moreno Egea A. Tratamiento laparoscópico de la meralgia parestésica. Revisión de la bi-bliografía. Rev Hispanoam Hernia. 2015 Feb;3(2):59-64.

  3. Garcia Alves D, Frainer Fuzinatto F, Praça Consalter CS, Egídio Rinaldi A, Rubio Vilca MM, Alvarez Rinaldi L. Meralgia parestésica por compressão de cinta modeladora. Rev Bras Cir Plást. 2016 Jan-Mar;31(1):133-35.

  4. Seong-il O, Eung Gyu K, Sang Jin K. An un-usual case of bilateral meralgia paresthetica following femoral cannulations. Neurointerven-tion [Internet]. 2017 Sep [citado 14 Abr 2018];12(2):[aprox. 3 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613044/.

  5. Emamhadi M. Surgery for meralgia pares-thetica: Neurolysis versus nerve resection. Turkh neurosurg. 2012 Nov; 22(6): 758-62.

  6. Omichi Y, Tonogai I, Kaji S, Sangawa T, Sairyo K. Meralgia paresthetica caused by en-trapment of the lateral femoral subcutaneous nerve at the fascia lata of the thigh: a case report and literature review. J Med Inv. 2015 Apr; 62(3-4): 248-50.

  7. Tomaszewski KA, Popieluszko P, Henry BM, Roy J, Sanna B, Kijek MR, et al. The surgical anatomy of the lateral femoral cutaneous nerve in the inguinal region: a meta-analysis. Hernia [Internet]. 2016 Apr [citado 14 Abr 2018]; 20(5): [aprox. 9 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5023748/.

  8. Üzel M, Akkin SM, Tanyeli E, Koebke J. Re-lationships of the lateral femoral cutaneous nerve to bony landmarks. Clin Orthop Relat Res [Internet]. 2011 Sep [citado 14 Abr 2018]; 469(9): [aprox. 7 p.]. Disponible en: http://www.ncbi.nlm.nih.Gov/pmc/articles/PMC3148355/.

  9. Hanna A. The lateral femoral cutaneous nerve canal. J Neurosurg. 2017 Mar;126(3):972-78.

  10. 10.Moritz T, Prosch H, Berzaczy D, Happak W, Lieba-Samal D, Bernathova M, et al. Common anatomical variation in patients with idiopathic meralgia paresthetica: a high reso-lution ultrasound case-control ctudy. Pain Physician. 2013 May/Jun;16:E287-E293.

  11. 11.Goulding K, Beaulé PE, Kim PR, Fazekas A. Incidence of lateral femoral cutaneous nerve neuropraxia after anterior approach hip arthroplasty. Clin Orthop Relat Res [Internet]. 2010 Sep [citado 14 Abr 2018];468(9):[aprox. 8 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2919880/.

  12. Chauhan C, Gupta K, Nayar P. Meralgia paresthetica after total hip arthroplasty in su-pine position. Saudi J Anaesth [Internet]. 2013 Jan-Mar [citado 14 Abr 2018];7(1):[aprox. 2 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3657910/.

  13. 13.Svendsen Juhl C, Ballegaard M, Bestle MH, Tfelt-Hansen P. Meralgia paresthetica after prone positioning ventilation in the intensive care unit. Case Rep Crit Care [Internet]. 2016 Sep [citado 14 Abr 2018];24(1):[aprox. 7 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056243/.

  14. 14.Yi TI, Yoon TH, Kim JS, Lee GE, Kim BR. Femoral neuropathy and meralgia paresthetica secondary to an iliacus hematoma. Ann Re-habil Med [Internet]. 2012 Apr [citado 14 Abr 2018];36(2):[aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3358686/.

  15. Koesterer T, Blanchard A, Donnelly P. Me-ralgia paresthetica in a male collegiate La-crosse player. Int J Athl Ther Train [Internet]. 2014 Sep [citado 11 Dic 2018];19(5):[aprox. 4 p.]. Disponible en: https://journals. humankinetics.com/doi/abs/10.1123/ijatt.2014-0019

  16. 16.Martin RR, Martin HD, Kivlan BR. Nerve en-trapment in the hip region: current concepts review. Int J Sports Phys Ther [Internet]. 2017 Dec [citado 14 Abr 2018];12(7):[aprox. 10 p.]. Disponible en: http://www.ncbi.nlm. nih.gov/pmc/articles/PMC5717491/.

  17. 17.Payne RA, Harbaugh K, Specht CS, Rizk E. Correlation of histopathology and clinical symptoms in meralgia paresthetica. Cureus [Internet]. 2017 Oct [citado 14 Abr 2018];9(10):[aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5 738219/.

  18. 18.Ahmed A. Meralgia paresthetica and femo-ral acetabular impingement: A Possible Associ-ation. J Clin Med Res [Internet]. 2010 Dec [citado 14 Abr 2018];2(6):[aprox. 3 p.]. Dis-ponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3194032/.

  19. 19.Chhabra A, Del Grande F, Soldatos T, Cha-lian M, Belzberg AJ, Williams EH, et al. Meral-gia paresthetica: 3-Tesla magnetic resonance neurography. Skeletal Radiol. 2013 Jun;42(6):803–8.

  20. Park BJ, Joeng ES, Choi JK, Kang S, Yoon JS, Yang SN. Ultrasound-guided lateral Femo-ral cutaneous nerve conduction study. Ann Re-habil Med [Internet]. 2015 Feb [citado 14 Abr 2018];39(1):[aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4351494/.

  21. Klauser AS, Abd Ellah MM, Halpern HJ, Sporer I, Martinoli C, Tagliafico A, et al. Meral-gia paraesthetica: ultrasound-guided injection at multiple levels with 12-month follow-up. Eur Radiol. 2016 Mar;26(3):764–70.

  22. Barousse R. Utilidad de la neurografía por IRM en el diagnóstico de la meralgia parestési-ca. Rev Argent Neuroc [Internet]. 2016 Sep [citado 14 Abr 2018];30(2):[aprox. 3 p.]. Dis-ponible en: https://studylib.es/doc/5979397/utilidad-de-la-neurograf%C3%ADa-por-irm-en-el-diagn%C3%B3stico-de-l

  23. Alexander RE. Clinical effectiveness of electroacupuncture in meralgia paraesthetica: a case series. Acupunct Med [Internet]. 2013 Dec [citado 14 Abr 2018];31(4):[aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888628/.

  24. 24.Choi HJ, Choi SK, Kim TS, Lim YJ. Pulsed radiofrequency neuromodulation treatment on the lateral femoral cutaneous nerve for the treatment of meralgia paresthetica. J Korean Neurosurg Soc [Internet]. 2011 Aug [citado 14 Abr 2018];50(2):[aprox. 3 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3206281/.

  25. Kim JE, Lee SG, Kim EJ, Min BW, Ban JS, Lee JH. Ultrasound-guided lateral femoral cu-taneous nerve block in meralgia paresthetica. Korean J Pain [Internet]. 2011 Jun [citado 14 Abr 2018];24(2):[aprox. 4 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3111560/.

  26. 26.Dhull P, Tewari AK, Upreti V, Prakash MS, Hari Kumar KV. Botulinum toxin for meralgia paresthetica in type 2 diabetes. Diabetes Metab Syndr. 2013 Jan-Mar;7(1):1-2.

  27. 27.Houle S. Chiropractic management of chronic idiopathic meralgia paresthetica: a case study. J Chiropr Med [Internet]. 2012 Mar [citado 14 Abr 2018];11(1):[aprox. 6 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3315861/.

  28. Malahias MA, Chytas D, Babis GC, Nikolaou VS. Platelet-rich plasma guided injections: cli-nical application in peripheral neuropathies. Front Surg [Internet]. 2014 Oct [citado 14 Abr 2018];1(1):[aprox. 6 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4286980/.

  29. Ahmed A, Arora D, Amit Kumar K. Ultra-sound-guided alcohol neurolysis of lateral fem-oral cutaneous nerve for intractable meralgia paresthetica: a case series. Br J Pain [Internet]. 2016 Nov [citado 14 Abr 2018];10(4):[aprox. 6 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5102099/.

  30. de Ruiter GC, Wurzer JA, Kloet A. Decision making in the surgical treatment of meralgia paresthetica: neurolysis versus neurectomy. Acta Neurochir. 2012 Oct;154(10):1765–72.

  31. 31.Berini SE, Spinner RJ, Jentoft ME, En-gelstad JK, Staff NP, Suanprasert N, et al. Chronic meralgia paresthetica and neurecto-my. Neurology [Internet]. 2014 Apr [citado 14 Abr 2018];82(17):[aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4011467/.

  32. de Ruiter GC, Kloet A. Comparison of ef-fectiveness of different surgical treatments for meralgia paresthetica: Results of a prospective observational study and protocol for a ran-domized controlled trial. Clin Neurol Neuro-surg. 2015 Jul;134:7-11.

  33. Bhardwaj N, Lloyd DM. Laparoscopic relief of meralgia paraesthetica. Ann R Coll Surg Engl [Internet]. 2011 Sep [citado 14 Abr 2018];93(6):[aprox. 1 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3369344/.

  34. Chopra PJ, Jananiculum Shankaran RK, Murugeshan DC. Meralgia paraesthetica: lapa-roscopic surgery as a cause then and a cure now. J Minim Access Surg [Internet]. 2014 Jul-Sep [citado 14 Abr 2018];10(3):[aprox. 2 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4083551/.




2020     |     www.medigraphic.com