Tople Jeshnu, Mago Vidur, Chakole Vivek, Bharadwaj Yatharth
Anaesthesiology, Jawaharlal Nehru Medical College, Wardha, IND.
Department of Anesthesia, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Jun 14;14(6):e25945. doi: 10.7759/cureus.25945. eCollection 2022 Jun.
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.
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。