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Meralgia paresthetica in the parturient.

T Van Diver1, W Camann

  • 1Department of Anesthesia, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

International Journal of Obstetric Anesthesia
|April 1, 1995
PubMed
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Meralgia paresthetica, a common nerve issue during pregnancy, causes thigh numbness. Symptoms typically resolve after delivery, and diagnosis relies on a neurological exam, not costly tests.

Area of Science:

  • Neurology
  • Obstetrics

Background:

  • Meralgia paresthetica is a sensory mononeuropathy affecting the lateral femoral cutaneous nerve.
  • It commonly occurs during pregnancy due to nerve entrapment near the anterior superior iliac spine or inguinal ligament.

Purpose of the Study:

  • To describe the presentation, diagnosis, and management of meralgia paresthetica in pregnant patients.
  • To emphasize the importance of a clinical diagnosis and reassure patients about prognosis.

Main Methods:

  • Review of the condition's etiology, clinical presentation, and diagnostic approaches.
  • Discussion of management strategies, including conservative and surgical options.

Main Results:

  • Symptoms include numbness, burning, or tingling in the anterolateral thigh, often starting during pregnancy or postpartum.

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  • Diagnosis is typically made via a careful neurologic examination, avoiding unnecessary investigations.
  • The condition is usually self-limited, resolving after childbirth.

    • Conclusions:

    • Meralgia paresthetica diagnosis in pregnancy does not preclude regional anesthesia for labor.
    • Reassurance and conservative management are key; surgical intervention is a last resort.
    • Physician familiarity with the condition prevents costly diagnostic delays.