Management of meralgia paresthetica

View More View Less
  • 1 Memphis, Tennessee
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
Print or Print + Online

✓ Meralgia paresthetica is a syndrome of pain or dysesthesia, or both, in the anterolateral thigh caused by entrapment or neurinoma formation of the lateral femoral cutaneous nerve. Conservative treatment was successful in relieving symptoms in 91% of 277 patients with this syndrome; however, 24 patients required surgical treatment for intractable symptoms. Although neurolysis with transposition is the most common procedure, sectioning of the lateral femoral cutaneous nerve was performed in 24 cases and was successful in 23. One patient had early symptomatic relief, but subsequently developed different neurological signs and symptoms because of an undetected pelvic neoplasm.

Anatomical variations of the nerve and neurinomas, which occur frequently, are easily handled with sectioning but may lead to recurrence with neurolysis and transposition.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
  • 1.

    Aldrich EF, & Van den Heever CM: Suprainguinal ligament approach for surgical treatment of meralgia paresthetica. Technical note. J Neurosurg 70:492494, 1989 Aldrich EF, Van den Heever CM: Suprainguinal ligament approach for surgical treatment of meralgia paresthetica. Technical note. J Neurosurg 70:492–494, 1989

    • Search Google Scholar
    • Export Citation
  • 2.

    Bernhardt M: Neuropathologische Beobachtungen. I. Periphere Lahmungen. D Arch Klin Med 22:362393, 1878 Bernhardt M: Neuropathologische Beobachtungen. I. Periphere Lahmungen. D Arch Klin Med 22:362–393, 1878

    • Search Google Scholar
    • Export Citation
  • 3.

    Bernhardt M: Ueber isolirt im Gebiete des N. cutaneous femoris externus vorkommende Parästhesien. Neurol Centrabl 14:242244, 1895 Bernhardt M: Ueber isolirt im Gebiete des N. cutaneous femoris externus vorkommende Parästhesien. Neurol Centrabl 14:242–244, 1895

    • Search Google Scholar
    • Export Citation
  • 4.

    Edelson J, & Nathan H: Meralgia paresthetica. Clin Orthop 122:255262, 1977 Edelson J, Nathan H: Meralgia paresthetica. Clin Orthop 122:255–262, 1977

    • Search Google Scholar
    • Export Citation
  • 5.

    Freud S: Ueber die Bernhardt'sche Sensibilitatsstorung am Oberschenkel. Neurol Centralbl 14:491492, 1895 Freud S: Ueber die Bernhardt'sche Sensibilitatsstorung am Oberschenkel. Neurol Centralbl 14:491–492, 1895

    • Search Google Scholar
    • Export Citation
  • 6.

    Fulton JF: Harvey Cushing. A Biography. Springfield, Ill: Charles C Thomas, 1946, 711 ppFulton JF: Harvey Cushing. A Biography. Springfield, Ill: Charles C Thomas, 1946, 711 pp

    • Search Google Scholar
    • Export Citation
  • 7.

    Ghent WR: Further studies on meralgia paraesthetica. Can Med Assoc J 85:871875, 1961 Ghent WR: Further studies on meralgia paraesthetica. Can Med Assoc J 85:871–875, 1961

    • Search Google Scholar
    • Export Citation
  • 8.

    Ghent WR: Meralgia paraesthetica. Can Med Assoc J 81:631633, 1959 Ghent WR: Meralgia paraesthetica. Can Med Assoc J 81:631–633, 1959

    • Search Google Scholar
    • Export Citation
  • 9.

    Hager W: Neuralgia femoris. Resection des Nerv. cutan. femoris anterior externus. Heilung. Dtsch Med Wochenschr 11:218219, 1885 Hager W: Neuralgia femoris. Resection des Nerv. cutan. femoris anterior externus. Heilung. Dtsch Med Wochenschr 11:218–219, 1885

    • Search Google Scholar
    • Export Citation
  • 10.

    Keegan JJ, & Holyoke EA: Meralgia paresthetica. An anatomical and surgical study. J Neurosurg 19:341345, 1962 Keegan JJ, Holyoke EA: Meralgia paresthetica. An anatomical and surgical study. J Neurosurg 19:341–345, 1962

    • Search Google Scholar
    • Export Citation
  • 11.

    Massey EW, & O'Brian JT: Mononeuropathy in diabetes mellitus. Postgrad Med 65:128138, 1979 Massey EW, O'Brian JT: Mononeuropathy in diabetes mellitus. Postgrad Med 65:128–138, 1979

    • Search Google Scholar
    • Export Citation
  • 12.

    Osler W: On certain unusual forms of paresthetic meralgia. J Nerv Ment Dis 24:131137, 1897 Osler W: On certain unusual forms of paresthetic meralgia. J Nerv Ment Dis 24:131–137, 1897

    • Search Google Scholar
    • Export Citation
  • 13.

    Riggs JE, , Chamberlain SM, & Gutierrez AR, et al: Dermatomal somatosensory evoked potentials in meralgia paresthetica. Arch Neurol 43:11011102, 1986 (Letter) Riggs JE, Chamberlain SM, Gutierrez AR, et al: Dermatomal somatosensory evoked potentials in meralgia paresthetica. Arch Neurol 43:1101–1102, 1986 (Letter)

    • Search Google Scholar
    • Export Citation
  • 14.

    Roth VK: [Meralgia paraesthetica.] Med Obozr 43:678, 1895 (Ger) Roth VK: [Meralgia paraesthetica.] Med Obozr 43:678, 1895 (Ger)

  • 15.

    Schiller F: Sigmund Freud's meralgia paresthetica. Neurology 35:557558, 1985 Schiller F: Sigmund Freud's meralgia paresthetica. Neurology 35:557–558, 1985

    • Search Google Scholar
    • Export Citation
  • 16.

    Stevens HI: Meralgia paresthetica. Arch Neurol Psychiatry 77:557574, 1957 Stevens HI: Meralgia paresthetica. Arch Neurol Psychiatry 77:557–574, 1957

    • Search Google Scholar
    • Export Citation
  • 17.

    Synek VM, & Cowan JC: Somatosensory evoked potentials from stimulation of cutaneous femoris lateralis nerve and their application in meralgia paresthetica. Clin Electroencephalogr 14:161163, 1983 Synek VM, Cowan JC: Somatosensory evoked potentials from stimulation of cutaneous femoris lateralis nerve and their application in meralgia paresthetica. Clin Electroencephalogr 14:161–163, 1983

    • Search Google Scholar
    • Export Citation
  • 18.

    Williams PL, & Warwick R (eds): Gray's Anatomy, ed 36. Philadelphia: WB Saunders, 1980, pp 11071108 Williams PL, Warwick R (eds): Gray's Anatomy, ed 36. Philadelphia: WB Saunders, 1980, pp 1107–1108

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 1474 414 49
Full Text Views 476 34 6
PDF Downloads 225 24 6
EPUB Downloads 0 0 0