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Meralgia paresthetica: a report on two cases treated surgically
1University of Zimbabwe, Department of Neurosurgery, Avondale, Harare.
The Central African Journal of Medicine
|July 1, 1995
Summary
Meralgia paresthetica, a thigh nerve condition, often improves with conservative care. Surgical neurectomy offers a low recurrence rate for intractable cases, unlike neurolysis.
Area of Science:
- Neurology
- Surgical Procedures
Background:
- Meralgia paresthetica (Bernhart-Roth Syndrome) involves thigh paresthesias and sensory loss due to lateral femoral cutaneous nerve (LFCN) neuropathy.
- Conservative management is typically effective for most patients.
Observation:
- Two patients with intractable meralgia paresthetica symptoms required surgical intervention.
- The study highlights a less frequently reported pathology in African literature.
Findings:
- Neurectomy with partial LFCN excision was preferred over neurolysis due to a significantly lower recurrence rate.
- Surgical neurectomy resulted in a localized area of anesthesia that demonstrated a tendency to shrink over time.
Implications:
- Surgical neurectomy presents a viable option for refractory meralgia paresthetica, offering long-term symptom relief.
- This approach may be particularly beneficial in minimizing symptom recurrence.
- Further research into LFCN neuropathy in diverse populations is warranted.