C Eren CANSÜ, Kutay ÖZTURAN, İstemi YÜCEL

Meraljiya Parestetika: Bir Polis Memurunda Olgu Sunumu

Meraljiya parestetika lateral femoral kutanöz sinirin sıkışması sonucunda klinikte uylukanterolateral kısmında değişen şiddette yanma, karıncalanma, hissizlik, keçeleşme gibi sensoryelşikayetlerle ve nadiren ağrı ile kendini gösteren semptomlar kompleksidir. Genellikle konservatiftedavi ile başarılı sonuçlar alınmakta, nadiren de cerrahi tedavi uygulanmaktadır. Bu makale ile bir polis memurunda konservatif olarak tedavi edilen bir meraljiya parestetikaolgusu sunulmuştur

Anahtar Kelimeler:

Meraljiya parestetika, lateral femoral kutanöz sinir, sinir sıkışması

Meralgia Paresthetica: Case Report in a Policeman

Meralgia paresthetica is a symptom complex resulting from entrapment of the lateral femoralcutaneous nevre presenting itself with paresthesia, burning sensation, dysesthesia, numbness,and rarely with pain in the anterolateral thigh. Generally with conservative treatment results aresatisfactory, and surgery is rarely indicated. In this study a case of meralgia paresthetica in a policeman which was treated conservatively ispresented

Keywords:

Meralgia paresthetica, lateral femoral cutaneous nerve, nerve entrapment,

PDF

___

1. Van Slobbe AM, Bohnen AM, Bernsen RM, Koes BW, BiermaZeinstra SM. Incidence rates and determinants in meralgia paresthetica in general practice. J Neurol. 251:294-7, 2004.
2. Otoshi K, Itoh Y, Tsujino A, Kikuchi S. Case report: meralgia paresthetica in a baseball pitcher. Clin Orthop Relat Res. 466:2268-70, 2008.
3. Ivins GK. Meralgia paresthetica, the elusive diagnosis: clinical experience with 14 adult patients. Ann Surg. 232:281-6, 2000.
4: Kotler D. Meralgia paresthetica. Case report in policewoman. JAAPA. 13:39-42, 47, 2000.
5. Harney D, Patijn J. Meralgia paresthetica: diagnosis and management strategies. Pain Med. 8:669-77, 2007.
6. Schestatsky P, Lladó-Carbó E, Casanova-Molla J, AlvarezBlanco S, Valls-Solé J. Small fibre function in patients with meralgia paresthetica. Pain. 15;139:342-8, 2008.
7. Seror P, Seror R. Meralgia paresthetica: clinical and electrophysiological diagnosis in 120 cases. Muscle Nerve. 33:650-4, 2006.
8. Shetty VD, Shetty GM. Persistent bilateral anterior hip pain in a young adult due to meralgia paresthetica: a case report. Cases J. 15;1:396, 2008.
9. Williams PH, Trzil KP. Management of meralgia paresthetica. J Neurosurg. 74:7680, 1991.
10. Boyce JR. Meralgia paresthetica and tight trousers. JAMA. 251:1553, 1984.
11. Korkmaz N, Ozcakar L. Meralgia paresthetica in a policeman: The belt or the gun. Plast Reconstr Surg.114:10123, 2004.
12. Suber DA, Massey EW. Pelvic mass presenting as meralgia paresthetica. Obstet Gynecol. 53:2578, 1979.
13. Grossman MG, Ducey SA, Nadler SS, Levy AS. Meralgia paresthetica: Diagnosis and treatment. J Am Acad Orthop Surg. 9:33644, 2001.
14. Hogh J, Macnicol MF. The Chiari pelvic osteotomy. A longterm review of clinical and radiographic results. J Bone Joint Surg Br. 69:36573, 1987.
15. Cho KT, Lee HJ. Prone position-related meralgia paresthetica after lumbar spinal surgery : a case report and review of the literature. J Korean Neurosurg Soc. 44:392-5, 2008.
16. Yamout B, Tayyim A, Farhat W. Meralgia paresthetica as a complication of laparoscopic cholecystectomy. Clin Neurol Neurosurg. 96:1434, 1994.
17. Gupta A, Muzumdar D,Ramani PS. Meralgia Paresthetica Following Lumbar Spine Surgery: A Study in 110 Consecutive Surgically Treated Cases. Neurology India. 52: 64-66, 2004.
18. Haim A, Pritsch T, Ben-Galim P, Dekel S. Meralgia paresthetica: A retrospective analysis of 79 patients evaluated and treated according to a standard algorithm. Acta Orthop. 77:482-6, 2006.
19. Carai A, Fenu G, Sechi E, Crotti FM, Montella A. Anatomical variability of the lateral femoral cutaneous nerve: findings from a surgical series. Clin Anat. 22:365-70, 2009.