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Femoral Mononeuropathy

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Postpartum femoral neuropathy: managing the next pregnancy.

Cathy Rowland, Daniel Kane, Maeve Eogan,

A 34-year-old primiparous woman presented in spontaneous labour and had an unassisted vaginal birth of a 3.5 kg infant. Postnatally, the patient experienced lower limb weakness and was unable to mobilise unassisted. A diagnosis of postpartum femoral neuropathy was made. Full recovery of normal motor function was not achieved until 5 ... Read more >>

BMJ Case Rep (BMJ case reports)
[2019, 12(12):]

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Pain in the hip: Spontaneous retroperitoneal hemorrhage in an elderly patient on apixaban.

Adil Khan, Joshua Mastenbrook, Laura Bauler,

As many as 5% of patients using oral anticoagulants suffer from a major bleeding event annually. Spontaneous retroperitoneal hemorrhage is a rare but serious complication, with a mortality rate as high as 20%. Oral anticoagulants were responsible for 2.83 million office visits per quarter in 2014 and use is increasing, ... Read more >>

Am J Emerg Med (The American journal of emergency medicine)
[2019, :]

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Meralgia paresthetica: finding an effective cure.

Ardo Sanjaya,

Meralgia Paresthetica (MP) is one of the most common mononeuropathies of the lower limb. MP usually resolves on its own, even without treatment. However, many physicians are not aware of this diagnosis and may confuse patients with another nerve disease such as radiculopathies. Although no motor symptoms are associated with ... Read more >>

Postgrad Med (Postgraduate medicine)
[2020, 132(1):1-6]

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Modification of obturator to femoral nerve transfer for femoral nerve palsy.

D J Graham, B S Sivakumar, R Lawson,

Postoperative femoral nerve palsy with nerve division is a potentially devastating complication with a poor prognosis, especially when there is a delay in diagnosis. We present a novel 'belt and braces' approach for managing this unusual injury, using a modification of a nerve transfer, which has only been previously reported ... Read more >>

Ann R Coll Surg Engl (Annals of the Royal College of Surgeons of England)
[2020, 102(3):e70-e72]

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Modern treatment of perineuriomas: a case-series and systematic review.

Anne-Kathrin Uerschels, Christos Krogias, Andreas Junker, Ulrich Sure, Karsten H Wrede, Oliver Gembruch,

BACKGROUND:Perineuriomas are rare benign peripheral nerve sheath tumours of perineurial cell origin and can be classified into intraneural and extraneural perineuriomas. They most commonly present a mononeuropathy of gradual onset and slow progression, resulting in progressive neurological deficits like hypoesthesia or motor weakness. Therapy is still variable. Aim of the ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):55]

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Femoral mononeuropathy in Lyme disease: a case report.

Reynaldo P Lazaro, Khalid Butt,

Background:Peripheral neuropathy is a common complication of Lyme disease. Cranial mononeuropathy, particularly that affecting the facial nerve, can be a presenting symptom, and at times, it can be associated with polyradiculopathies or plexopathies. However, isolated femoral neuropathy has not yet been reported in Lyme disease; therefore, we felt the need ... Read more >>

Int Med Case Rep J (International medical case reports journal)
[2019, 12:243-247]

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[Research progress on meralgia paresthetica after posterior spine surgery].

S S Liu, Q Qi, G Q Liang,

Meralgia paresthetica (MP) after posterior spine surgery is caused by mechanical compression injury of lateral femoral cutaneous nerve, which presents as numbness or paresthesia in the confined area of the anterolateral thigh. MP after posterior spine surgery is a common postoperative complication, and the incidence is 12.7%-25.5%. Because its clinical ... Read more >>

Zhonghua Wai Ke Za Zhi (Zhonghua wai ke za zhi [Chinese journal of surgery])
[2019, 57(11):878-880]

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[Femoral neuropathy: Haematoma in iliac muscle and a lumbar vertebral fracture].

Ignacio Ferrando Lacarte, Carolina Clemente Sarasa, María Dolores Domingo Sanchez, Carmen Cánovas Pareja,

75-year-old patient with a history of acenocumarol anticoagulated atrial fibrillation, which shows pain, functional impotence and right lower limb paresthesias after fall. Studies evidenc evertebral fracture L5 and haematoma on right iliac muscle, proceeding to surgical drainage, suspension of acenocumarol, and onset of apixaban. After treatment persisted femoral neuropathy, which ... Read more >>

Rev Esp Geriatr Gerontol (Revista espanola de geriatria y gerontologia)
[2020, 55(2):120-122]

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Subperiosteal hematoma of the iliac wing presenting with leg weakness in a young adult footballer.

John P Hynes, Richard E Downey, Nicola Hughes, Conor J O'Keane, Eoin Kavanagh,

We present the case of a 17 year old football player with a 2 week history of left leg weakness and difficulty weight-bearing. Magnetic resonance imaging revealed a well-circumscribed lesion deep to the left iliacus muscle. The patient proceeded to computed tomography-guided biopsy. The likely diagnosis was that of a ... Read more >>

Radiol Case Rep (Radiology Case Reports)
[2020, 15(4):424-426]

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Sciatic neuropathy in an acromegalic cat without concurrent diabetes mellitus.

Andrea Corsini, Ezio Bianchi, Antonella Volta, Mattia Bonazzi,

Case summary:A 17-year-old neutered male European Shorthair cat was presented owing to an inability to jump and respiratory stridor. The owner did not report any other clinical signs. On physical examination, the main findings were plantigrade stance, broad facial features and inspiratory stridor. Neurological examination revealed posterior paraparesis, hypotonia and ... Read more >>

JFMS Open Rep (JFMS open reports)
[2020, 6(1):2055116920906936]

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Transient pelvic limb neuropathy following proximal metatarsal and tarsal magnetic resonance imaging in seven horses.

K L Moreno, E M Scallan, W O Friedeck, B T Simon,

BACKGROUND:Pelvic limb neuropathy is a rare post-anaesthetic complication. In the authors' experiences, the incidence of post-anaesthesia neuropathy is increased following MRI of the proximal metatarsus and tarsal regions when compared with previously reported incidences of post-anaesthetic neuropathy. OBJECTIVES:This study reports the incidence, diagnosis, treatment and outcome of seven horses with ... Read more >>

Equine Vet. J. (Equine veterinary journal)
[2019, :]

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Association Between Surgical Level and Early Postoperative Thigh Symptoms Among Patients Undergoing Standalone Lateral Lumbar Interbody Fusion.

Toshiyuki Shirahata, Ichiro Okano, Stephan N Salzmann, Oliver C Sax, Jennifer Shue, Andrew A Sama, Frank P Cammisa, Tomoaki Toyone, Katsunori Inagaki, Alexander P Hughes, Federico P Girardi,

BACKGROUND:Lateral lumbar interbody fusion (LLIF) has often been associated with postoperative lumbar plexus symptoms, including pain, paresthesia, and motor deficits in the lower extremities, especially the anterior thigh regions. Previous studies have suggested that LLIF procedures at L4-L5 will be associated with a greater motor deficit rate than other levels. ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 134:e885-e891]

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Compressive Femoral Mononeuropathy Secondary to Acetabular Labral Tear Associated With Paralabral Ganglion Cyst of an Osteoarthritic Hip: A Case Report.

Javahir A Pachore, Vikram Indrajit Shah, Sachin Upadhyay, Kalpesh Shah, Ashish Seth, Amish Kshatriya,

CASE:A 61-year-old man presented with a 5-year history of left hip pain and a 6-month history of left groin swelling associated with hypoesthesia and proximal muscle weakness. Radiograph of the left hip showed degenerative joint disease. Magnetic resonance imaging revealed a large, anteriorly displaced paralabral cyst of the left hip ... Read more >>

JBJS Case Connect (JBJS case connector)
[2019, 9(3):e0344]

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The primary role of radiological imaging in the diagnosis of rare musculoskeletal diseases. Emphasis on ultrasound.

Federica Rossi, Carlo Martinoli, Giovanni Murialdo, Angelo Schenone, Marina Grandis, Diego Ferone, Alberto Stefano Tagliafico,

Objective: In July 2017 a multidisciplinary clinical Center specialized in rare diseases was activated. A rare disease can involve the musculoskeletal system. A multimodality musculoskeletal imaging approach allows for a rapid diagnosis. The purpose of this study was to assess when musculoskeletal radiology, ultrasound in particular, plays a primary role ... Read more >>

J Ultrason (Journal of ultrasonography)
[2019, 19(78):187-192]

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Neurolymphomatosis of the lumbosacral plexus and its branches: case series and literature review.

Pierre R Bourque, Marcos Loreto Sampaio, Jodi Warman-Chardon, Sam Samaan, Carlos Torres,

BACKGROUND:Neurolymphomatosis (NL) is a direct process of invasion of peripheral nerves by lymphoma. It occurs in roughly 5% of patients with lymphoma and represents a particularly difficult diagnostic dilemma when it is the presenting focal manifestation of occult lymphoma. CASE PRESENTATION:We present 3 examples of invasion of the lumbosacral plexus ... Read more >>

BMC Cancer (BMC cancer)
[2019, 19(1):1149]

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Femoral Neuropathy: A Rare Presentation of Retroperitoneal Hematoma with Review of Literature.

Kamal Kant Sahu, Ajay Kumar Mishra, Peng Zhang,

Hematomas in close compartments and in pelvic gutters are always challenging to treat and diagnose. A young female on apixaban for recently diagnosed pulmonary thromboembolism (PE) presented to us for the complaints of right sided lower limb weakness. Neurological examination was positive for the right femoral nerve distribution deficit. Computed tomography (CECT) ... Read more >>

Indian J Hematol Blood Transfus (Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion)
[2020, 36(1):174-177]

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The first report of pure neuritic leprosy with involvement of the anterior femoral cutaneous nerve.

Francisco Bezerra de Almeida Neto, Raul Aureliano Neto, Lucas Machado Carvalho Cardoso,

We describe the case of a young man, 22 years old, a household contact of leprosy, presenting paresthesia in the right leg and great thickening in the anterior femoral nerve and in the ipsilateral sural nerve. There were no typical dermatological lesions of leprosy. Ultrasonography confirmed the clinical finding. The ... Read more >>

Neurol Int (Neurology international)
[2019, 11(2):8001]

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Cryoneurolysis for the Treatment of Lateral Femoral Cutaneous Nerve Pain: A Case Report.

Ciara Johnson, Jason-Flor Sisante, John Alm, McCasey Smith, Neil A Segal,

PM R (PM & R : the journal of injury, function, and rehabilitation)
[2019, :]

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Is Triamcinolone an Easy and Efficient Way to Treat Meralgia Paresthetica? A Cohort Study.

Arunmozhimaran Elavarasi, Vinay Goyal, Mamta Bhushan Singh, M V Padma Srivastava,

Introduction:Meralgia paresthetica (MP) is a painful mononeuropathy of the lateral femoral cutaneous nerve. It is usually idiopathic and can be treated with drugs used for neuropathic pain such as pregabalin, gabapentin, and amitriptyline. Objectives:This study was done to study the effect of triamcinolone acetonide on drug refractory MP. Methods:This study ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2019, 22(3):308-310]

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Bilateral Parsonage-Turner Syndrome After Initial Unilateral Presentation: A Case Report.

Brendan Lindgren, Dustin Rivers, Jeffrey Clark,

Parsonage-Turner syndrome (PTS) is a clinical syndrome characterized by rapid onset of upper extremity pain typically followed by varying degrees of weakness and atrophy. In this case, we discuss a 54-year-old female who developed severe right upper extremity pain soon after receiving a shingles vaccine, which was then followed by ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6422]

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Percutaneous Drainage of an Iliopsoas Hematoma in a Hemophilia Patient.

Dilek Kaçar, Onur Ergun, Abdurrahman Kara, Vildan Çulha, Namik Y Özbek,

In patients with hemophilia, the usual treatment for both iliopsoas hematoma and associated femoral nerve compression is conservative. The case presented herein is a moderate hemophilia A patient with significant femoral neuropathy due to iliopsoas hematoma whose symptoms could not be managed with an aggressive factor VIII replacement program for ... Read more >>

J. Pediatr. Hematol. Oncol. (Journal of pediatric hematology/oncology)
[2019, :]

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Case report: Femoral neuropathy with conduction block.

Matthew Harmelink, Erika Pyzik, Paul E Barkhaus,

J. Neurol. Sci. (Journal of the neurological sciences)
[2019, 401:17-18]

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Assessment of Distal Motor Latency of the Femoral Nerve in Clinically Healthy Adult Dogs.

Ana C Mortari, Julia L A Lima, Ricardo M Almeida, Sheila C Rahal,

This study aimed to evaluate femoral nerve latency time recorded from both vastus lateralis and vastus medialis muscles, in clinically healthy dogs. Eighteen adult dogs were distributed into 2 distinct body mass ranges (Group 1: 1-4.1 kg, n= 9; Group 2: 4.2-13 kg, n= 8), according to the median body ... Read more >>

Top Companion Anim Med (Topics in companion animal medicine)
[2019, 36:1-3]

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The impact of early adjuvant chemotherapy in rectal cancer.

Gyoung Tae Noh, Jeonghee Han, Min Soo Cho, Hyuk Hur, Kang Young Lee, Nam Kyu Kim, Byung Soh Min,

PURPOSES:Although adjuvant chemotherapy (AC) has been established as a standard of treatment for advanced rectal cancer, there is no guideline regarding the timing of AC initiation. In this study, we aimed to evaluate the oncologic outcome of early AC initiation and clarify the ideal time to AC among rectal cancer ... Read more >>

PLoS ONE (PloS one)
[2020, 15(1):e0228060]

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Inguinal segmental nerve conduction of the lateral femoral cutaneous nerve in healthy controls and in patients with meralgia paresthetica.

Cengiz Tataroglu, Aysel Coban, Ahmet Sair, Zahır Kızilay,

A common entrapment site of the lateral femoral cutaneous nerve (LFCN) is in the vicinity of the inguinal ligament. However the more distal segment of this nerve can also be affected. Electrophysiological evaluation of this nerve is difficult. Additionally, available methods have failed in the lesion localization of LFCN. In ... Read more >>

J Clin Neurosci (Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia)
[2019, 67:40-45]

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