Atamaz F, Hepgüler S, Karasu Z, Kilic M
Department of Physical Therapy and Rehabilitation, Ege University Medical School, Izmir, Turkey.
Transplant Proc. 2005 Dec;37(10):4424-5. doi: 10.1016/j.transproceed.2005.11.047.
The focal neuropathies after orthotropic liver transplantation (OLTx) have been well documented to date. Most injuries to the peripheral nervous system involve the peroneal nerve and brachial plexus. We report the first case of lateral femoral cutaneous nerve (LFCN) injury after OLTx. The patient presented with pain and numbness on the lateral aspect of the right thigh that had progressively worsened since operation. Electrodiagnostic studies were indicative for right meralgia paresthetica (MP). The symptoms of MP improved progressively after physical therapy applications during the first 3 months. The etiology of MP in this case is unclear. However, it may be considered that ascites, surgical mechanisms, and immunosuppressive therapy were possible causative factors.
目前,原位肝移植(OLTx)后的局灶性神经病变已有充分记录。周围神经系统的大多数损伤累及腓总神经和臂丛神经。我们报告了首例OLTx后股外侧皮神经(LFCN)损伤的病例。该患者自手术后右大腿外侧出现疼痛和麻木,且症状逐渐加重。电诊断研究表明为右侧感觉异常性股痛(MP)。在最初3个月进行物理治疗后,MP症状逐渐改善。该病例中MP的病因尚不清楚。然而,可以认为腹水、手术机制和免疫抑制治疗可能是致病因素。