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Trummer, M; Flaschka, G; Unger, F; Eustacchio, S.
Lumbar disc herniation mimicking meralgia paresthetica: case report.
Surg Neurol. 2000; 54(1):80-81 Doi: 10.1016%2FS0090-3019%2800%2900264-0 (- Case Report)
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Leading authors Med Uni Graz: Trummer Martin
Co-authors Med Uni Graz: Eustacchio Sandro; Unger Frank
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Abstract:: BACKGROUND: Meralgia paresthetica, a syndrome of pain and/or dysesthesia in the anterolateral thigh, is normally caused by an entrapment of the lateral femoral cutaneous nerve (LFCN) at the anterior superior iliac spine. In a few cases compression of the nerve in the retroperitoneum has been reported to mimic meralgia paresthetica. CASE DESCRIPTION: A 67-year-old woman presented with a 5-year history of permanent paresthesia in the anterolateral thigh. Motor weakness was not detected. Electromyography showed a neurogenic lesion at the level of L3. Lumbar spine MRI detected a foraminal-extraforaminal disc herniation at L2/L3, which was extirpated via a lateral transmuscular approach. The patient was free of symptoms on the first postoperative day. CONCLUSION: In patients with meralgia paresthetica we emphasize a complete radiological investigation of the lumbar spine, including MRI, to exclude radicular compression by a disc herniation or a tumour at the level of L2 or L3.
Find related publications in this database (using NLM MeSH Indexing): Aged -; Decompression, Surgical -; Diagnosis, Differential -; Female -; Femoral Neuropathy - complications; Humans - complications; Intervertebral Disk Displacement - diagnosis; Lumbar Vertebrae - pathology; Magnetic Resonance Imaging - pathology; Neurosurgical Procedures - pathology; Paresthesia - diagnosis
Find related publications in this database (Keywords): meralgia paresthetica; lateral disc herniation; nerve root; spine; lateral femoral cutaneous nerve