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中年男性通过水分离法成功治疗股外侧皮神经卡压综合征:一例报告

Successful Management of Meralgia Paresthetica by Hydro Dissection in a Middle-Aged Male: A Case Report.

作者信息

Tople Jeshnu, Mago Vidur, Chakole Vivek, Bharadwaj Yatharth

机构信息

Anaesthesiology, Jawaharlal Nehru Medical College, Wardha, IND.

Department of Anesthesia, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Jun 14;14(6):e25945. doi: 10.7759/cureus.25945. eCollection 2022 Jun.

DOI:10.7759/cureus.25945
PMID:35855224
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9286019/
Abstract

Meralgia paresthetica (MP) comes under a wide array of syndromes known as Mononeuropathies, wherein the subject presents symptoms of tingling burning pain as well as numbness in the thigh's lateral aspect which occurs as a result of the lateral femoral cutaneous nerve being compressed. The condition is commonly seen in association with diabetes mellitus and obesity. The nerve's anatomy which involves tunnelling through the inguinal ligament predisposes it to get entrapped. However, the pathophysiology of this condition additionally involves inflammation other than the usual entrapment neuropathy. Its characteristic clinical presentation usually clinches the diagnosis and the prognosis is generally favourable with the use of multiple modalities of treatment but not limited to peripheral nerve blocks, nerve decompression, neurectomy as well as pulsed radiofrequency neuromodulation. We present a case of MP which was treated promptly with hydro dissection in a rural tertiary care hospital in central India.

摘要

股外侧皮神经痛(MP)属于一系列称为单神经病的综合征,其中患者会出现刺痛、灼痛以及大腿外侧麻木的症状,这是由于股外侧皮神经受压所致。这种情况常见于糖尿病和肥胖症患者。该神经的解剖结构涉及穿过腹股沟韧带,这使其容易受到卡压。然而,这种疾病的病理生理学除了通常的卡压性神经病变外,还涉及炎症。其典型的临床表现通常能确诊病情,通过多种治疗方式,包括但不限于外周神经阻滞、神经减压、神经切除术以及脉冲射频神经调节,预后通常良好。我们报告一例在印度中部一家农村三级护理医院通过水分离术迅速治疗的股外侧皮神经痛病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/071d/9286019/5725163caab4/cureus-0014-00000025945-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/071d/9286019/9e0d9a00da3e/cureus-0014-00000025945-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/071d/9286019/5725163caab4/cureus-0014-00000025945-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/071d/9286019/9e0d9a00da3e/cureus-0014-00000025945-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/071d/9286019/5725163caab4/cureus-0014-00000025945-i02.jpg

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本文引用的文献

1
Immunotherapy for diabetic amyotrophy.糖尿病性肌萎缩的免疫治疗
Cochrane Database Syst Rev. 2017 Jul 26;7(7):CD006521. doi: 10.1002/14651858.CD006521.pub4.
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Peripheral neuropathies.周围神经病变
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Ultrasound-Guided Nerve Hydrodissection: What is it? A Review of the Literature.超声引导下神经水分离术:是什么?文献综述。
Curr Sports Med Rep. 2016 Jan-Feb;15(1):20-2. doi: 10.1249/JSR.0000000000000226.
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Ultrasound-guided percutaneous neuroplasty of the lateral femoral cutaneous nerve for the treatment of meralgia paresthetica: a case report and description of a new ultrasound-guided technique.超声引导下股外侧皮神经经皮神经成形术治疗感觉异常性股痛:一例报告及一种新的超声引导技术描述
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