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I. M. Tarlov and J. A. Epstein

of the scar, operation was undertaken. The nerve ends were found to be separated by a gap of 0.5 cm. and, after the terminal neuromas were resected, a graft 1 cm. long taken from the lateral femoral cutaneous nerve was introduced into the defect of the digital nerve and sutured with 10 drops of autologous unmodified plasma. Excellent coaptation of nerves was obtained. The operation was done 6 months after the original injury was sustained. Four weeks after the operation, sensation for pin prick had returned over the formerly analgesic area of the index finger. The

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Acoustic Neuroma

Repair of Facial Nerve with Autogenous Graft

Charles G. Drake

femoral cutaneous nerve was joined to the stump of the facial nerve by two stitches of 6–0 silk. This graft was then carried through the floor of the posterior fossa behind, to be joined to the peripheral end of the facial nerve which had been divided just below the stylomastoid foramen. This operation has been performed in 2 further cases (in September 1956 and October 1957) in which a significant length of facial nerve was preserved. At the initial craniotomy the graft was sutured to the stump of the facial nerve and then left coiled in the wound behind the tip of

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Gangliform Enlargement on the Lateral Cutaneous Nerve of the Thigh

Its Significance in the Understanding of the Etiology of Meralgia Paresthetica

Hilel Nathan

(tension neuritis of the lateral femoral cutaneous nerve). Med. J. Aust. , 1944 , 1 : 127 – 129 . Corlette , C. E. Meralgia paraesthetica (tension neuritis of the lateral femoral cutaneous nerve). Med. J. Aust. , 1944, 1: 127–129. 6. Daniell , H. W. Fusiform swellings on the terminal portions of peripheral nerves. J. Neuropath. exp. Neurol. , 1954 , 13 : 467 – 475 . Daniell , H. W. Fusiform swellings on the terminal portions of peripheral nerves. J. Neuropath. exp. Neurol. , 1954, 13: 467–475. 7

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Meralgia Paresthetica

An Anatomical and Surgical Study

J. Jay Keegan and E. A. Holyoke

T he syndrome of burning, tingling numb sensation in the anterolateral area of the thigh, with variable reduction of sensation in the distribution of the lateral femoral cutaneous nerve, was first described by Bernhardt 1 in 1895 and named meralgia paresthetica by Roth 10 in the same year. Although this syndrome is fairly common in mild form, there has been continuing uncertainty of its cause and treatment. Early observations tended to relate it to prolonged toxic or infectious processes with a long stay in bed and loss of weight. Later writers have been

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Galera G. Rafael and Davut Tovi

encountered included five patients with hematomas; three with infections of the hip wound; three with sensory deficit in the distribution of the lateral femoral cutaneous nerve; two with increased radicular pain and paresthesias; one with immediate postoperative hemiplegia and anesthesia of the contralateral side; and one with radicular pain on the previously asymptomatic side. Impairment of sphincter control was present postoperatively in two patients, in one combined with paraparesis. All these complications except impairment of sphincter control have been permanent

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Werner Nobel, Sandy C. Marks Jr. and Stefan Kubik

femoral nerve (12). The common iliac artery (3), genitofemoral nerve (7), and lateral femoral cutaneous nerve (10) are also labeled. This and the following figures are oriented so that proximal is at the top and distal at the bottom. Medial and lateral aspects will vary according to the side of body. Fig. 4. Deep dissection of specimen shown in Fig. 3 , with laminae peritonealis (1) and transversalis (2) reflected to show the lamina preiliaca (deep to paper arrow ). The potential spaces between 1 and 2, 2 and the lamina preiliaca, and deep to lamina

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E. Francois Aldrich and C. Mauritz van den Heever

M eralgia paresthetica is a clinical syndrome resulting from entrapment of the lateral femoral cutaneous nerve of the thigh in the inguinal region. 3, 8 In the early stages, conservative management is indicated, with attempts being made to eliminate obvious causes. Weight reduction, injection of local anesthetic agents together with steroids, or removal of tight binders and corsets can provide lasting relief. 8 Surgical therapy should only be resorted to in patients with persistent or very severe pain, and only a small minority of patients will come to

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Paul H. Williams and Kenneth P. Trzil

M eralgia paresthetica was originally known as the Bernhardt-Roth syndrome. Both men published articles independently of each other in 1895: Vladimir Roth, 14 a Russian Muscovite, and Martin Bernhardt 3 from Berlin. Actually, in 1878 Bernhardt 2 had described a case of meralgia paresthetica without going into detail. In 1885 Hager 9 wrote about hip pain secondary to the lateral femoral cutaneous nerve (LFCN) (“n. cutan. femoris ant. externus”) after trauma and even described a surgical resection of the nerve with good results. Sigmund Freud 5 published

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Toyohiko Isu, Kyosuke Kamada, Nobuaki Kobayashi and Shoji Mabuchi

bone fusion. Discussion Anterior interbody fusion of the cervical spine has been described by Robinson and Smith (1955) 5 and by Cloward (1958). 2 In their surgical techniques, autogenous bone from the iliac crest is used for interbody fusion. The complications associated with the iliac donor site are inevitable. These complications 7 include persistent graft-site pain, lateral femoral cutaneous nerve injury, and hematoma formation. In order to avoid such complications, various types of grafts have been utilized, including calf bone, 6 cadaver bone

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Yosuke Oishi, Akio Ohnishi, Katsumi Suzuki and Teruyuki Hojo

Joint Surg (Am) 72: 110–120, 1990 4. Dellon AL , Mackinnon SE : Human ulnar neuropathy at the elbow: clinical, electrical, and morphometric correlations. J Reconstr Microsurg 4 : 179 – 184 , 1988 Dellon AL, Mackinnon SE: Human ulnar neuropathy at the elbow: clinical, electrical, and morphometric correlations. J Reconstr Microsurg 4: 179–184, 1988 5. Jefferson D , Eames RA : Subclinical entrapment of the lateral femoral cutaneous nerve: an autopsy study. Muscle Nerve 2 : 145 – 154