Zheng Danielle, Lamer Tim J
From the Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, Minnesota.
A A Pract. 2019 May 15;12(10):352-355. doi: 10.1213/XAA.0000000000000922.
Middle cluneal nerve entrapment neuropathy/neuralgia (MCN-EN) is a rare and potentially underdiagnosed etiology for chronic low back pain. Symptoms include pain in the buttock and posterior superior iliac spine area that is increased by activity and direct pressure over the area, and is "neuropathic" in nature. Previous case reports describe successful treatment of MCN-EN with nerve block and/or surgical decompression of the MCN. We present a case report detailing the first successful use of radiofrequency nerve ablation in treating MCN-EN.
臀中皮神经卡压性神经病变/神经痛(MCN-EN)是慢性下腰痛的一种罕见且可能未被充分诊断的病因。症状包括臀部及髂后上棘区域疼痛,活动及对该区域直接施压时疼痛加剧,且本质上为“神经性”疼痛。既往病例报告描述了通过神经阻滞和/或对臀中皮神经进行手术减压成功治疗MCN-EN的情况。我们在此呈现一例病例报告,详细介绍首次成功使用射频神经消融术治疗MCN-EN的情况。