Meraljia parestetika . Üç olgu sunumu ve literatürün gözden geçirilmesi

Year 2008, Volume: 15 Issue: 1, 35 - 37, 11.05.2009

Serkan İltar , Kadir Alemdaroğlu Cem Kılınç Ender Alagöz Nevres Aydoğan

Abstract

Süleyman Demirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2008 Mart; 15 (1)










Meraljia parestetika . Üç olgu sunumu ve literatürün gözden geçirilmesi



Serkan Iltar, Kadir Bahadır Alemdaroğlu, Cem Yalın Kılınç, Ender Alagöz, Nevres Hürriyet Aydoğan



S.B. Ankara Eğitim ve Araştırma Hastanesi 2. Ortopedi ve Travmatoloji Kliniği, Ankara



Özet



Meraljia parestetika, lateral femoral kuteneal sinirin ağrılı mononöropatisidir. Etiyolojide birçok factor suçlanmıştır. Biz de bu çalışmamızda sıkı kemer, dar pantolon nedeniyle meraljia parestetika gelişmiş iki olgu ve iliak kanattan otogreft alımını takiben gelişmiş bir olguyu sunduk. Sonuç olarak meraljia parestetika, ortopedik cerrahi işlemler sonrasında gelişebilen ve özellikle lomber ve kalça problemleri ile karışabilen, bu bölge yakınmalarında akılda bulundurulması gerekli, basit öneri ve tedavi yöntemleri ile çoğunlukla tedavi edilebilen bir problemdir.



Anahtar kelimeler: Meraljia parestetika, lateral femoral kuteneal sinir.



Abstract



Meralgia paresthetica . report of three cases and revıew of the lıterature



Meralgia paresthetica is a painful mono-neuropathy of lateral cutaneal femoral nevre. We would liketo report of a total of three cases, two had developed due to tight belt an done had arisen after harvesting auto-graft from the iliac bone. In conclusion meralgia paresthetica,which can arise after orthopedic surgery, should be kept in mind as a differential diagnose in the complainments about particulary hip and lumbar region.



Keywords: Meralgia paresthetica, lateral cutaneal femoral nevre.

Keywords

Meraljia parestetika, lateral femoral kuteneal sinir

References

• Dias Filho LC, Valenca MM,Guimaraes Filho FA, Medeiros RC, Silva RA, Morais MG, Valente FP et al. Lateral Femoral Cutaneous Neuralgia. Clin Anat. 2003,16(4):309-316.
• Mirovsky Y, Neuwirth M. Injuries to the Lateral Femoral Cutaneous Nevre During Spine Surgery. Spine 2000, 25(10): 1266-1269.
• Yang SH, Wu CC, Chen PQ. Postoperative Meralgia Paresthetica After Posterior Spine Surgery: Incidence, Risc Factors and Clinical Outcomes. Spine 2005, 30(18): 47-50.
• Yamamoto T, Nagira K, Kurosaka M. Meralgia Paresthetica Occurring 40 Years After Ýliac Bone Graft Harvesting: Case Report. Neurosurgery 2001, 49(6): 1455-1457.
• Korkmaz N, Özçakar L. Meralgia Paresthetica ina Policeman : To Belt or the Gun. Plast Reconstr Surg 2004 ,114(4): 1012-1013.
• Erbay H. Meralgia Paresthetica in Differential Diagnosis of Low-Back Pain. Clin J Pain 2002, 18(2): 132-135.
• Gupta A, Muzumdar D,Ramani PS. Meralgia Paresthetica Following Lumbar Spine Surgery: A Study in 110 Consecutive Surgically Treated Cases. Neurology India 2004, 52(1): 64-66.
• Grossman MG, Ducey SA, Nadler SS, Levy AS. Meralgia Paresthetica : Diagnosis and Treatment. J Am Acad Orthop Surg 2001, 9(5): 336-344.
• Nahabedian MY, Dellon AL. Meralgia Paresthetica: Etiology, Diagnosis and Outcomes Surgical Decompression. Ann Plast Surg 1995, 35(6): 590-594.
• Aszmann OC, Dellon ES, Dellon AL. Anatomical
• Course of the Lateral Cuteneous Nevre and it Susceptibility to Compression and Injury. Plast Reconstr Surg 1997, 100: 600-604.
• Kitson J, Ashworth MJ. Meralgia Paraesthetica : A Complication of a Patient Positioning Device in Total Hip Replacement. J Bone JointSurg 2002,84(B): 589- 590.
• Jiang GX, Xu WD, Wang AH. Spinal Stenosis with Meralgia Paraesthetica. J Bone Joint Surg (Br) 1988, 70(B): 272-273.
• Eubanks S, Newman L, Goehring L, Lucas GW, Adams CP, Mason E, Duncan T. Meralgia Paresthetica : A Complication of laparoscopic Herniorrhaphy. Surg Laparosc Endosc 1993, 3: 381-385.
• Van Diver T, Camann W. Meralgia paresthetica in the parturient. Int J Obstet Anesth 1995, 4(2):109-112.
• Vargo MM, Robinson LR, Nicholas JJ, Rulin MC. Postpartum femoral neuropathy: relic of an earlier era? Arch Phys Med Rehabil 1990, 71(8):591-596.
• Atamaz F, Hepgüler S, Karasu Z, Kýlýç M. Meralgia Paresthetica After Liver Transplantation : A Case Report. Transplant Proc. 2005, 37(10) : 4424-4425.
• Antunes PE, Antunes MJ. Meralgia paresthetica after aortic valve surgery. J Heart Valve Dis 1997, 6(6):589- 590.
• Devers A, Galer BS. Topical Lidocain Patch Relieves a Variety of Neuropathic Pain Conditions : An Open- Label Study. Clin J Pain 2001 ,16(3): 205-208.
• Ducic I, Dellon AL, Taylor NS. Decopression of the Lateral Femoral Cutaneous Nevre in the Treatment of MeralgiaParesthetica. J Reconstr Microsurg 2006, 22(2): 113-118.
• Siu TL, Chandran KN. Neurolysis for meralgia Paresthetica: An Operative Serious of 45 Cases. Surg Neurol 2005 ,63(1): 19-23.
• Holanda MM, Meira UM, Magalhaes FN, da Silva JA. Surgical Treatment of Meralgia Paresthetica: ACase Report. Arq Neuropsiquiatr 2003, 18(2):132-135.