Yi Tae Im, Yoon Tae Hee, Kim Joo Sup, Lee Ga Eun, Kim Bo Ra
Department of Rehabilitation Medicine, Daejin Medical Center Bundang Jesaeng General Hospital, Seongnam 463-774, Korea.
Ann Rehabil Med. 2012 Apr;36(2):273-7. doi: 10.5535/arm.2012.36.2.273. Epub 2012 Apr 30.
Compressive femoral and lateral femoral cutaneous neuropathies from an iliacus hematoma are unusual presentation. We report a case of a 16-year-old boy who developed right femoral and lateral femoral cutaneous neuropathies as a complication of traumatic ipsilateral iliacus hematoma formation. The patient complained of numbness in the right thigh and calf as well as right leg weakness, and pain in the right inguinal area. Nerve conduction study and needle electromyography identified the neuropathies. After the electrodiagnostic studies, the pelvic bone MRI revealed a large, 9×5×4.5 cm right iliacus hematoma. As a result, diagnosis of a right iliacus hematoma compressing the femoral and lateral femoral cutaneous nerves was made, and the patient underwent an operation to remove the hematoma. Symptoms and neurological signs showed notable improvement after surgical decompression. Subsequent follow-up electrodiagnostic studies after 11 weeks demonstrated regeneration evidence.
髂腰肌血肿导致的股神经和股外侧皮神经受压性神经病变是一种不常见的表现。我们报告一例16岁男孩，其因同侧外伤性髂腰肌血肿形成而并发右侧股神经和股外侧皮神经病变。患者主诉右大腿和小腿麻木、右腿无力以及右腹股沟区疼痛。神经传导研究和针极肌电图检查确定了神经病变。在电诊断研究后，骨盆骨MRI显示一个9×5×4.5厘米的巨大右侧髂腰肌血肿。因此，诊断为右侧髂腰肌血肿压迫股神经和股外侧皮神经，患者接受了血肿清除手术。手术减压后症状和神经体征有明显改善。11周后的后续电诊断研究显示有神经再生迹象。
