Lateral femoral cutaneous neuropathy caused by prone positioning to treat <scp>COVID</scp>‐19‐associated acute respiratory distress syndrome

Zhou, Lan; Siao, Peter

doi:10.1002/mus.27202

Cited by 8 publications

(7 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Compression of the lateral femoral cutaneous nerve at the level of the anterior-superior iliac spine or inguinal ligament may be a relatively uncommon but specific complication of prone positioning. 192,193 Additional complications have been linked to nerve injury during endotracheal tube insertion or as a result of its displacement during prone positioning. A case of Tapia syndrome (ie, concomitant paralysis of hypoglossal and vagus nerves) has been described in one COVID-19 patient.…”

Section: Muscle and Neuromuscular Junctionmentioning

confidence: 99%

COVID‐19 and the peripheral nervous system. A 2‐year review from the pandemic to the vaccine era

Taga

Lauria

2022

J Peripheral Nervous Sys

View full text Add to dashboard Cite

Increasing literature has linked COVID‐19 to peripheral nervous system (PNS) diseases. In addition, as we move from the pandemic to the vaccination era, literature interest is shifting towards the potential association between COVID‐19 vaccines and PNS manifestations. We reviewed published literature on COVID‐19, COVID‐19 vaccines and PNS manifestations between 1 January 2020 and 1 December 2021. For Guillain‐Barré syndrome (GBS), isolated cranial neuropathy (ICN) and myositis associated with COVID‐19, the demographic, clinical, laboratory, electrophysiological and imaging features were included in a narrative synthesis. We identified 169 studies on COVID‐19‐associated complications, including 63 papers (92 patients) on GBS, 29 papers (37 patients) on ICN and 11 papers (18 patients) on myositis. Additional clinical phenotypes included chronic inflammatory demyelinating polyneuropathy, vasculitic neuropathies, neuralgic amyotrophy, critical care‐related complications, and myasthenia gravis. PNS complications secondary to COVID‐19 vaccines have been reported during randomized clinical trials, in real‐world case reports, and during large‐scale surveillance programs. These mainly include cases of GBS, Bell's palsy, and cases of neuralgic amyotrophy. Based on our extensive review of the literature, any conclusion about a pathophysiological correlation between COVID‐19 and PNS disorders remains premature, and solely supported by their temporal association, while epidemiological and pathological data are insufficient. The occurrence of PNS complications after COVID‐19 vaccines seems limited to a possible higher risk of facial nerve palsy and GBS, to a degree that widespread access to the ongoing vaccination campaign should not be discouraged, while awaiting for more definitive data from large‐scale surveillance studies.

show abstract

Section: Muscle and Neuromuscular Junctionmentioning

confidence: 99%

COVID‐19 and the peripheral nervous system. A 2‐year review from the pandemic to the vaccine era

Taga

Lauria

2022

J Peripheral Nervous Sys

View full text Add to dashboard Cite

show abstract

“… 45 The authors assume MP to be an underdiagnosed condition in patients who receive mechanical ventilation in PP. 56 , 63 , 74 …”

Section: Evidence Synthesismentioning

confidence: 99%

Long-term complications of prone position ventilation with relevance for acute and postacute rehabilitation: a systematic review of the literature

Elmer¹,

Reißhauer²,

Brehm³

et al. 2023

Eur J Phys Rehabil Med

View full text Add to dashboard Cite

INTRODUCTION Prone positioning ventilation (PPV) is an effective treatment for patients with moderate to severe acute respiratory distress syndrome (ARDS). Despite the benefits of PPV, different kinds of short and long-term consequences have been noted. This review summarizes long-term complications of PPV that impact treatment strategies and outcomes in acute and postacute rehabilitation. EVIDENCE ACQUISITION PubMed/Medline, Cochrane Library, Cochrane COVID-19 Study Register databases and the Google Scholar search engine were systematically searched for studies investigating long-term complications of PPV. The final search date for all sources/databases was January 31, 2022. For our methodological appraisal, we conducted a systematic review of articles without any restrictions on types of articles or publication dates. Only articles published in English and available as full texts were eligible for inclusion. After the screening process, data of interest were extracted from eligible sources: PPV sequelae and conclusions ( i.e. possible effects on the course of rehabilitation and therapy strategies). EVIDENCE SYNTHESIS A total of 59 studies are included in this review. Long-term consequences are mainly pressure ulcers and nerve lesions that exist after discharge from the Intensive Care Unit (ICU). Publications rarely recommend treatment strategies for long-term complications after PPV. Due to the quality of the included studies, no robust conclusions as to effective strategies can be drawn. CONCLUSIONS Further high-quality research is required, considering the different long-term complications after PPV and their impact on rehabilitation in order to draw conclusions about viable physical therapies. Crucially, however, prone positioning (PP) sequelae pose new challenges to physicians and therapists in acute and postacute rehabilitation medicine as well as follow-up care.

show abstract

“…30,31 Iatrogenic MP can also be seen in patients who underwent prone positioning during surgery or during a stay in the intensive care unit (ICU), with the incidence ranging from 10.3-23.8%. 15,19,28,[32][33][34][35][36] Spinal surgeries such as thoracic and lumbar laminectomies have higher incidences of MP than other prone positioning surgeries, with risk factors including surgical times longer than 3.5 hours and an elevated BMI. 19,28,32 Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and Treatment…”

Section: Epidemiologymentioning

confidence: 99%

“…40,42 While most patients present with unilateral symptoms, bilateral presentation has been documented in about 10-18% of cases. 33,42,43 Although patients with bilateral MP commonly present with the same clinical symptoms, there is the possibility of distinct etiology. 33,36 Patients with iatrogenic MP present similarly to those with spontaneous MP.…”

Section: Clinical Featuresmentioning

confidence: 99%

Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and Treatment

Gomez

Remotti

Momah

et al. 2023

Health Psychology Research

View full text Add to dashboard Cite

Purpose of Review Meralgia paresthetica (MP) is a condition characterized by paresthesias, neuropathic pain, and alterations in sensorium of the anterolateral thigh secondary to impingement of the lateral femoral cutaneous nerve (LFCN). MP is generally diagnosed by clinical history and is often a diagnosis of exclusion. When diagnosis remains a challenge, diagnostic modalities such as ultrasound, MRI, electromyography, and nerve conduction studies have been utilized as an adjunct. This review summarizes the most recent medical literature regarding MP, its pathophysiology, presentation, and current treatment options. Recent Findings Treatment options for patients with MP range from lifestyle modifications and conservative management to surgical procedures. Initial management is often conservative with symptoms managed with medications. When conservative management fails, the next step is regional blocks followed by surgical management. The conflicting data for treatment options for MP highlight how the evidence available does not point to a single approach that’s universally effective for treating all patients with MP. Summary Despite the apparent success at treating MP with regional blocks and surgical interventions, much remains to be known about the dosing, frequency, and optimal interventions due to the inconclusive results of current studies. Further research including randomized controlled trials are needed to better understand the most optimal treatment options for MP including studies with a larger number of participants.

show abstract

Lateral femoral cutaneous neuropathy caused by prone positioning to treat COVID‐19‐associated acute respiratory distress syndrome

Abstract: Lateral femoral cutaneous neuropathy is a focal neuropathy caused by compression of the lateral femoral cutaneous nerve (LFCN) at the level of anterior-superior iliac spine or inguinal ligament. It is commonly associated with diabetes mellitus, obesity, and wearing tight clothing. 1 It can

Cited by 8 publications

References 9 publications

COVID‐19 and the peripheral nervous system. A 2‐year review from the pandemic to the vaccine era

COVID‐19 and the peripheral nervous system. A 2‐year review from the pandemic to the vaccine era

Long-term complications of prone position ventilation with relevance for acute and postacute rehabilitation: a systematic review of the literature

Meralgia Paresthetica Review: Update on Presentation, Pathophysiology, and Treatment

Contact Info

Product

Resources

About