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Meralgia paresthetica after liver transplantation: a case report
F Atamaz1, S Hepgüler, Z Karasu
1Department of Physical Therapy and Rehabilitation, Ege University Medical School, Izmir, Turkey. atamaz_02@yahoo.com
Transplantation Proceedings
|January 3, 2006
Summary
Orthotropic liver transplantation (OLTx) can cause focal neuropathies. This case report details the first instance of lateral femoral cutaneous nerve (LFCN) injury, leading to meralgia paresthetica (MP), after OLTx.
Area of Science:
- Neurology
- Transplantation Surgery
- Peripheral Nerve Disorders
Background:
- Focal neuropathies are recognized complications following orthotropic liver transplantation (OLTx).
- Commonly reported nerve injuries involve the peroneal nerve and brachial plexus.
Observation:
- This report presents the first documented case of lateral femoral cutaneous nerve (LFCN) injury after OLTx.
- The patient experienced progressive right thigh pain and numbness, diagnosed as meralgia paresthetica (MP) via electrodiagnostic studies.
Findings:
- Symptoms of meralgia paresthetica (MP) showed progressive improvement with physical therapy over 3 months.
- The precise cause of MP in this OLTx patient remains undetermined.
Implications:
- Potential etiologies for LFCN injury post-OLTx include ascites, surgical factors, and immunosuppressive treatments.
- This case highlights the importance of considering LFCN injury in the differential diagnosis of neuropathies after liver transplantation.