Meralgia paraesthetica following weight loss. Case report

The authors report on a case of persistent meralgia paraesthetica of the left side, following a weight loss of 8 kg in one month. Not only volumetric changes of the panniculus adiposus in the inguinal region but also a slight arrangement of the inguinal ligament and a state of undernourishment contribute to the compression of the lateral femoral cutaneous nerve. By microsurgical epineurectomy and interfascicular neurolysis the disappearance of the meralgia and preservation of the sensation on the antero-lateral aspect of the thigh are obtained.