Servicio de Neurocirugía, Hospital Clínico San Carlos, Madrid, Spain.
Servicio de Neurocirugía, Hospital Clínico San Carlos, Madrid, Spain.
Neurocirugia (Astur : Engl Ed). 2022 Nov-Dec;33(6):394-397. doi: 10.1016/j.neucie.2022.02.007. Epub 2022 Mar 2.
Meralgia paresthetica is a neurological disorder caused by a neuropathy of the lateral femoral cutaneous nerve. Its aetiology can be spontaneous or iatrogenic. It is characterized by pain, paresthesia, and numbness in the anterolateral aspect of the thigh. Diagnosis is based on clinical examination, although image and neurophysiological tests can be useful as well. Despite conservative measures use to be effective in most of patients, refractory cases can benefit from alternative treatments. Available surgical procedures are: nerve decompression (neurolysis) or section (neurectomy) and radiofrequency ablation. We present a case of refractory meralgia paresthetica where spinal cord stimulation was used as a possible effective technique in pain relief and to avoid the neurectomy of the lateral femoral cutaneous nerve.
股外侧皮神经炎是一种由股外侧皮神经病变引起的神经疾病。其病因可为自发性或医源性。其特征为大腿前外侧疼痛、感觉异常和麻木。诊断基于临床检查，尽管影像学和神经生理学检查也可能有用。尽管大多数患者的保守治疗有效，但难治性病例可能受益于替代治疗。可用的手术方法有：神经减压（神经松解术）或神经切断术（神经切除术）和射频消融术。我们报告了一例难治性股外侧皮神经炎患者，采用脊髓刺激作为一种可能有效的止痛技术，以避免股外侧皮神经的神经切除术。
