Choi Hyuk Jai, Choi Seok Keun, Kim Tae Sung, Lim Young Jin
Department of Neurosurgery, School of Medicine, Kyung Hee University, Seoul, Korea.
J Korean Neurosurg Soc. 2011 Aug;50(2):151-3. doi: 10.3340/jkns.2011.50.2.151. Epub 2011 Aug 31.
We describe a rare case of pulsed radiofrequency treatment for pain relief associated with meralgia paresthetica. A 58-year-old female presented with pain in the left anterior lateral thigh. An imaging study revealed no acute lesions compared with a previous imaging study, and diagnosis of meralgia paresthetica was made. She received temporary pain relief with lateral femoral cutaneous nerve blocks twice. We performed pulsed radiofrequency treatment, and the pain declined to 25% of the maximal pain intensity. At 4 months after the procedure, the pain intensity did not aggravate without medication. Pulsed radiofrequency neuromodulation treatment on the lateral femoral cutaneous nerve may offer an effective, low risk treatment in patients with meralgia paresthetica who are refractory to conservative medical treatment.
我们描述了一例罕见的采用脉冲射频治疗缓解股外侧皮神经痛相关疼痛的病例。一名58岁女性因左大腿前外侧疼痛就诊。与之前的影像学检查相比，此次影像学检查未发现急性病变，诊断为股外侧皮神经痛。她接受了两次股外侧皮神经阻滞，疼痛得到暂时缓解。我们进行了脉冲射频治疗，疼痛程度降至最大疼痛强度的25%。术后4个月，无需药物治疗，疼痛强度未加重。对于保守药物治疗无效的股外侧皮神经痛患者，对股外侧皮神经进行脉冲射频神经调节治疗可能是一种有效且低风险的治疗方法。
