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Meralgia Paresthetica

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Lateral Femoral Cutaneous Nerve Radiofrequency Ablation for Long-term Control of Refractory Meralgia Paresthetica.

Alaa Abd-Elsayed, Michael J Gyorfi, Sung P Ha,

BACKGROUND:Meralgia paresthetica is a term used to describe a clinical pain syndrome related to the compression or irritation of the lateral femoral cutaneous nerve (LFCN). The LFCN is a pure sensory nerve that is susceptible to compression injury. The most common compression locations are: as it courses from the lumbosacral ... Read more >>

Pain Med (Pain medicine (Malden, Mass.))
[2020, :]

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Carpal Tunnel Syndrome and Meralgia Paresthetica in Pregnancy.

Megan S Gooding, Victor Evangelista, Leonardo Pereira,

Importance:Carpal tunnel syndrome and meralgia paresthetica are 2 common neuropathies complicating pregnancy. Each of these causes significant discomfort but can be diagnosed and treated safely during pregnancy. Objective:This article outlines the existing literature diagnosis, treatment, and prognosis of carpal tunnel syndrome and meralgia paresthetica, specifically looking at the implications during ... Read more >>

Obstet Gynecol Surv (Obstetrical & gynecological survey)
[2020, 75(2):121-126]

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Sonographic evaluation of the lateral femoral cutaneous nerve in meralgia paresthetica.

G M Powell, F I Baffour, A J Erie, R C Puffer, R J Spinner, K N Glazebrook,

OBJECTIVE:Identify sonographic features of the lateral femoral cutaneous nerve (LFCN) in meralgia paresthetica (MP) and report therapeutic outcomes in sonographically confirmed cases. MATERIALS AND METHODS:Retrospective review of 50 patients with clinically suspected MP and 20 controls. Ultrasounds were reviewed for characteristics of the LFCN and compared between groups. When available, ... Read more >>

Skeletal Radiol. (Skeletal radiology)
[2020, :]

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Letter to the Editor. Meralgia paresthetica: what to do?

Amgad Hanna,

J. Neurosurg. (Journal of neurosurgery)
[2020, :1-2]

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The Correlation of Meralgia Paresthetica and Spinal Surgery in Prone Position.

Serdar Ercan, Zeki Serdar Ataizi, Kemal Ertilav,

AIM:To investigate the incidence, risk factors, and recovery of patients with meralgia paresthetica (MP) following posterior spine surgery. MATERIAL AND METHODS:Patients who underwent posterior spine surgeries in prone position at the authors’ clinics were included in this study. Patients with preoperative MP were excluded. RESULTS:Among the 560 patients who underwent ... Read more >>

Turk Neurosurg (Turkish neurosurgery)
[2020, 30(1):89-93]

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Efficacy of Nerve Hydrodissection With 5% Dextrose in Chronic Meralgia Paresthetica.

Yu-Chi Su, Chun-Yi Lee, Chih-Ya Chang, Liang-Cheng Chen, Yung-Tsan Wu,

Pain Pract (Pain practice : the official journal of World Institute of Pain)
[2019, :]

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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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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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Meralgia paresthetica: Now showing on 3T magnetic resonance neurography.

Raihaan M Ally, Mark D Velleman, Farhana E Suleman,

Meralgia paresthetica is a neuropathy of the lateral femoral cutaneous nerve. Traditionally, the diagnosis is based on classical symptoms and signs. In cases where there is a diagnostic dilemma, the role of magnetic resonance imaging has been to exclude other causes for the patient's presentation, as the small extraspinal peripheral ... Read more >>

SA J Radiol (SA journal of radiology)
[2019, 23(1):1745]

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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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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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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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Adding an ultrasound scan before the injection reveals a rare cause of meralgia paresthetica: inguinal lymphadenomegaly.

Deniz Palamar, Tugce Ozekli Misirlioglu, Hakan Arslan, Kenan Akgun,

Am J Phys Med Rehabil (American journal of physical medicine & rehabilitation)
[2019, :]

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Review of Risks and Complications of Extreme Lateral Interbody Fusion (XLIF).

Nancy E Epstein,

Background:Extreme lateral interbody fusions (XLIF) and Minimally Invasive (MIS) XLIF were developed to limit the vascular injuries associated with anterior lumbar interbody fusion (ALIF), and minimize the muscular/ soft tissue trauma attributed to transforaminal lumbar interbody fusion (TLIF), posterior lumbar interbody fusion (PLIF), and posterolateral lumbar fusion (PLF). Methods:Nevertheless, XLIF/MIS ... Read more >>

Surg Neurol Int (Surgical Neurology International)
[2019, 10:237]

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Laparoscopic-Assisted Intra-Abdominal Section of the Lateral Femoral Cutaneous Nerve for Meralgia Paresthetica Following Anterior Hip Arthroplasty.

Jennifer Hong, Thadeus L Trus, Perry A Ball,

BACKGROUND:Meralgia paresthetica, a pain syndrome that is caused by injury to the lateral femoral cutaneous nerve, is a well-documented complication after anterior hip arthroplasty (THA). Traditional treatment of this peripheral nerve entrapment syndrome can be complicated in patients who have had THA via an anterior approach owing to the presence ... Read more >>

World Neurosurg (World neurosurgery)
[2019, 126:415-417]

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Ultrasound-Guided Hydrodissection of an Entrapped Saphenous Nerve After Lower Extremity Varicose Vein Stripping: A Case Report.

Kunitaro Watanabe, Joho Tokumine, Alan Kawarai Lefor, Kumi Moriyama, Tomoko Yorozu,

A 78-year-old woman complained of numbness, tingling, and pain in the left leg 6 months after greater saphenous vein stripping. Ultrasonography identified a mass adjacent to the saphenous nerve at the scar. Ultrasound-guided hydrodissection separated the mass from the nerve. The pain disappeared after hydrodissection, and the patient remained pain ... Read more >>

A A Pract (A&A practice)
[2020, 14(1):28-30]

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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)
[2020, 12(4):423-424]

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Pelvic osteochondroma causing meralgia paresthetica.

Lucas V B Magalhães, Felipe R Massardi, Samuel A C Pereira,

Neurol India (Neurology India)
[2019, 67(3):928-929]

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Histopathologic changes inside the lateral femoral cutaneous nerve obtained from patients with persistent symptoms of meralgia paresthetica.

Godard C W de Ruiter, Joann Lim, Bregje J W Thomassen, Sjoerd G van Duinen,

BACKGROUND:In patients with persistent symptoms of meralgia paresthetica, a neurectomy of the lateral femoral cutaneous nerve (LFCN) can be performed to alleviate pain symptoms. The neurectomy procedure can be performed either as a primary procedure or after failure of a previously performed neurolysis or decompression of the LFNC (secondary neurectomy). ... Read more >>

Acta Neurochir (Wien) (Acta neurochirurgica)
[2019, 161(2):263-269]

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Direct Anterior Approach Versus Posterolateral Approach for Hemiarthroplasty in the Treatment of Displaced Femoral Neck Fractures in Geriatric Patients.

Cagri Neyisci, Yusuf Erdem, Ahmet Burak Bilekli, Dogan Bek,

BACKGROUND In the present study, we aimed to evaluate early clinical and biochemical outcomes of direct anterior approach (DAA) versus posterolateral approach (PLA) for hemiarthroplasty in the treatment of displaced femoral neck fractures in geriatric patients. MATERIAL AND METHODS Between September 2012 and September 2017, a total of 110 patients ... Read more >>

Med. Sci. Monit. (Medical science monitor : international medical journal of experimental and clinical research)
[2020, 26:e919993]

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Dynamic decompression of the lateral femoral cutaneous nerve to treat meralgia paresthetica: technique and results.

Martijn J A Malessy, Job Eekhof, Willem Pondaag,

OBJECTIVEThe results of lateral femoral cutaneous nerve (LFCN) decompression to treat idiopathic meralgia paresthetica (iMP) vary widely. Techniques to decompress the LFCN differ, which may affect outcome, but in MP it is unknown to what extent. The authors present a new technique using dynamic decompression and discuss the outcomes.METHODSA retrospective ... Read more >>

J. Neurosurg. (Journal of neurosurgery)
[2018, :1-9]

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Surgical options for meralgia paresthetica: long-term outcomes in 13 cases.

Zeki Serdar Ataizi, Kemal Ertilav, Serdar Ercan,

BACKGROUND:Meralgia paresthetica is an entrapment neuropathy of the lateral femoral cutaneous nerve that may cause paresthesias, pain, and sensory loss of the anterior and lateral thigh. Treatment is primarily medical. Surgery is an option for patients who do not respond to medical treatments. METHODS:Patients whose symptoms did not improve after ... Read more >>

Br J Neurosurg (British journal of neurosurgery)
[2019, 33(2):188-191]

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Lateral Femoral Cutaneous Nerve Decompression Guided by Preoperative Ultrasound Mapping.

Jason Ellis, Julia R Schneider, Michael Cloney, Christopher J Winfree,

Injury to the lateral femoral cutaneous nerve (LFCN) from compression or entrapment may result in meralgia paresthetica, a painful mononeuropathy of the anterolateral thigh. Surgical decompression of the LFCN may provide relief when conservative management fails. However, the considerable anatomic variability of this nerve may complicate surgical localization and thus ... Read more >>

Cureus (Cureus)
[2018, 10(11):e3652]

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Spinal Cord Stimulation for Restless Legs Syndrome: Case Series and Mechanistic Hypothesis.

Syed M Adil, Jing L Han, Beth A Parente, Patrick Hickey, Shivanand P Lad,

BACKGROUND:Spinal cord stimulation (SCS) is a well-established therapy for chronic pain syndromes, with growing applicability to other conditions. Restless legs syndrome (RLS) is a widespread, chronic movement disorder managed primarily and incompletely by medication, and its etiology can be classified as idiopathic or secondary. METHODS:Three patients underwent SCS implantation for ... Read more >>

Stereotact Funct Neurosurg (Stereotactic and functional neurosurgery)
[2019, 97(1):31-36]

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Feasibility and Safety of Outpatient Lumbar Microscopic Discectomy in a Developing Country.

Ashish Jaiswal, Satish Kumar, Siva Reddy, Parineeta Jaiswal,

Study Design:Prospective study. Purpose:To verify the feasibility and safety of outpatient microscopic lumbar discectomy (MLD) in a developing country. Overview of Literature:Outpatient MLD is advantageous in terms of cost effectiveness and avoidance of nosocomial infections. Safety of outpatient MLD has been well established in the developed nations of North America ... Read more >>

Asian Spine J (Asian spine journal)
[2019, 13(5):721-729]

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