| Meralgia paresthetica-like syndrome may be caused by transient lumbar nerve root injury without definite compression: a case report. | |
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MedLine Citation:
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PMID: 21294431 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Meralgia paresthetica is a well-known sensory syndrome describing paresthesia and/or anesthesia in the anterolateral aspect of the thigh that is supplied by the lateral femoral cutaneous nerve. Compression of the nerve usually occurs at the point where it passes between the anterior superior iliac spine and the inguinal ligament. Proximal lesions such as lumbar radiculopathy, lumbar disc herniation, and spinal stenosis have been reported to cause meralgia paresthetica-like syndrome. These proximal lesions directly injure L2 and L3 spinal nerve roots and cause a constant compression of the nerve roots. The presented paper introduces a hypothesis that this syndrome can be caused by transient injury to the L2 and L3 nerve roots by the upper adjacent disc bulge without definite compression. This hypothesis is supported by lumbar spine magnetic resonance imaging of a patient presenting with a meralgia paresthetica-like symptom during bending forward and twisting of the body, showing no L2/L3 herniated disc but mildly posterior bulging of T12/L1 disc. This hypothesis emphasizes an importance of appropriate postures in patients with meralgia paresthetica-like symptoms in order to prevent long-term morbidity. |
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Authors:
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Pornpatr Dharmasaroja; Permphan Dharmasaroja |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of the Medical Association of Thailand = Chotmaihet thangphaet Volume: 93 Suppl 7 ISSN: 0125-2208 ISO Abbreviation: J Med Assoc Thai Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2011-02-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7507216 Medline TA: J Med Assoc Thai Country: Thailand |
Other Details:
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Languages: eng Pagination: S307-10 Citation Subset: IM |
Affiliation:
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Division of Neurology, Faculty of Medicine, Thammasat University, Pathumthani, Thailand. tepdm@mahidol.ac.th |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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