Pediatric meralgia paresthetica

Richer, Lawrence; Shevell, Michael; Stewart, John; Poulin, Chantal

doi:10.1016/s0887-8994(01)00397-6

Cited by 20 publications

(31 citation statements)

References 4 publications

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“…Some patients note that paresthesias in the thigh can be initiated by tapping on the inguinal ligament; extending the thigh posteriorly, which stretches the nerve, can aggravate the condition; in addition, erect posture and prolonged standing have also been identified as associated aggravating factors [46]. Symptoms are relieved by sitting, but on occasion symptoms aggravated by sitting have been reported [17]. Other neurological, urogenital, and gastrointestinal symptoms and signs do not fit the picture of MP and should indicate to the attending physician that the leg pain is due to another condition.…”

Section: Diagnosismentioning

confidence: 99%

Meralgia Paresthetica: Diagnosis and Management Strategies

2007

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Meralgia paresthetica (MP), coined from the Greek words meros (thigh and algos), meaning pain, is a neurological disorder characterized by a localized area of paresthesia and numbness on the anterolateral aspect of the thigh. The incidence of MP is more common than often reported in the literature. The etiology of MP includes mechanical factors such as obesity, pregnancy, and other conditions associated with increased intrabdominal pressure, surgery of the spine, and pelvic osteotomy. A coherent history and pertinent physical examination is essential in making the diagnosis; however, red flags such as tumor and lumbar disk herniations must be recognized and appropriately treated. While the diagnosis of MP is essentially a clinical diagnosis, sensory nerve conduction velocity studies are a useful adjunctive diagnostic tool. The management of MP includes treating the underlying cause (if any) and conservative management. Surgery should only be adopted when all nonoperative therapies have failed to manage the condition in an effective manner.

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Section: Diagnosismentioning

confidence: 99%

Meralgia Paresthetica: Diagnosis and Management Strategies

2007

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“…Contributing factors include obesity, diabetes mellitus, tight garments around the waist, a wide abdomen with overlying panniculi and extension of the thigh posteriorly, which stretches the nerve . Of the six previously reported pediatric cases in patients 9–16 years old, three involved obesity, but waist circumference was not reported . The present patient had normal BMI but a slightly abnormal obesity index and a wide abdomen for his height.…”

mentioning

confidence: 54%

“…Meralgia paresthetica is extremely rare in children, with knowledge largely limited to a few case reports . The nerve entrapments that produce meralgia paresthetica usually occur under the inguinal ligament.…”

mentioning

confidence: 99%

Meralgia paresthetica after incorrect crutch usage in a boy with a wide abdomen

Yamashita

Kobessho

Daito

2018

Pediatrics International

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“…1 Familial trait of the disease has been noted in a family with MP in 4 generations, suggesting the possibility of autosomal dominant trait inheritance. 7 Pregnancy and carpel tunnel syndrome are 2 conditions associated with increased occurrence of MP. 8 The disease also affects pediatric population.…”

Section: Epidemiologymentioning

confidence: 99%

Meralgia Paresthetica

Hui¹,

Peng

2011

Regional Anesthesia and Pain Medicine

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Meralgia paresthetica (MP) is an entrapment pain syndrome of the lateral femoral cutaneous nerve (LFCN) of thigh. Diagnosis is principally made on clinical ground with pain and paresthesia of the anterolateral thigh. Electrophysiological test and nerve block play important roles when the diagnosis is uncertain. Clinicians should be aware of the various etiological factors that can be potentially modified or treated. Most of the patients respond to conservative management including nerve block. Surgical options should be considered in patients refractory to those treatment options. Anesthesiologists are commonly involved in the management of MP because of their expertise in pain management and performance of the LFCN block. Blockade of the LFCN with local anesthetics and steroid serves both the diagnostic and therapeutic role.

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Pediatric meralgia paresthetica

Cited by 20 publications

References 4 publications

Meralgia Paresthetica: Diagnosis and Management Strategies

Meralgia Paresthetica: Diagnosis and Management Strategies

Meralgia paresthetica after incorrect crutch usage in a boy with a wide abdomen

Meralgia Paresthetica

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