Ataizi Zeki Serdar, Ertilav Kemal, Ercan Serdar
a Department of Neurosurgery , Yunus Emre State Hospital , Eskisehir , Turkey.
b Department of Neurosurgery, School of Medicine , Suleyman Demirel University , Isparta , Turkey.
Br J Neurosurg. 2019 Apr;33(2):188-191. doi: 10.1080/02688697.2018.1538480. Epub 2018 Nov 19.
Meralgia paresthetica is an entrapment neuropathy of the lateral femoral cutaneous nerve that may cause paresthesias, pain, and sensory loss of the anterior and lateral thigh. Treatment is primarily medical. Surgery is an option for patients who do not respond to medical treatments.
Patients whose symptoms did not improve after medical and conservative treatment for at least 3 months were included in this study. These patients underwent neurolysis and decompression surgery and had a mean postoperative follow-up of 38 months. Their pain levels were assessed by the VAS scoring system.
In 8 (61.5%) patients, the symptoms completely resolved within the first 3 months. In 5 (38.5%) patients, the complaints persisted partially and the recovery was observed after 12 months. In patients having a metabolic etiology, the duration of recovery was up to 12 months.
The long term results of surgery are good though only partial improvemnts in reported pain were seen in the early postoperative period, especially in patients with a metabolic etiology.
股外侧皮神经卡压综合征是一种股外侧皮神经的卡压性神经病变，可导致大腿前外侧感觉异常、疼痛及感觉丧失。治疗主要为保守治疗。对于保守治疗无效的患者可选择手术治疗。
本研究纳入了经药物及保守治疗至少3个月症状仍未改善的患者。这些患者接受了神经松解减压手术，术后平均随访38个月。采用视觉模拟评分系统评估其疼痛程度。
8例（61.5%）患者症状在术后3个月内完全缓解。5例（38.5%）患者症状部分持续存在，12个月后观察到恢复。代谢性病因患者的恢复时间长达12个月。
手术的长期效果良好，尽管术后早期报告的疼痛仅部分改善，尤其是代谢性病因的患者。
