The Korean Journal of Pain

  • 제24권2호
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  • Pages.115-118
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  • 2011
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Ultrasound-guided Lateral Femoral Cutaneous Nerve Block in Meralgia Paresthetica

  • Kim, Jeong-Eun (Departmetn of Anesthesiology and Pain Medicine, Daegu Fatima Hospital) ;
  • Lee, Sang-Gon (Departmetn of Anesthesiology and Pain Medicine, Daegu Fatima Hospital) ;
  • Kim, Eun-Ju (Departmetn of Anesthesiology and Pain Medicine, Daegu Fatima Hospital) ;
  • Min, Byung-Woo (Departmetn of Anesthesiology and Pain Medicine, Daegu Fatima Hospital) ;
  • Ban, Jong-Suk (Departmetn of Anesthesiology and Pain Medicine, Daegu Fatima Hospital) ;
  • Lee, Ji-Hyang (Departmetn of Anesthesiology and Pain Medicine, Daegu Fatima Hospital)
  • 투고 : 2011.02.24
  • 심사 : 2011.04.04
  • 발행 : 2011.06.01
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초록

Meralgia paresthetica is a rarely encountered sensory mononeuropathy characterized by paresthesia, pain or sensory impairment along the distribution of the lateral femoral cutaneous nerve (LFCN) caused by entrapment or compression of the nerve as it crossed the anterior superior iliac spine and runs beneath the inguinal ligament. There is great variability regarding the area where the nerve pierces the inguinal ligament, which makes it difficult to perform blind anesthetic blocks. Ultrasound has developed into a powerful tool for the visualization of peripheral nerves including very small nerves such as accessory and sural nerves. The LFCN can be located successfully, and local anesthetic solution distribution around the nerve can be observed with ultrasound guidance. Our successfully performed ultrasound-guided blockade of the LFCN in meralgia paresthetica suggests that this technique is a safe way to increase the success rate.

키워드

참고문헌

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피인용 문헌

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  2. Meralgia paresthetica-like symptoms following epidural analgesia after total knee arthroplasty vol.58, pp.10, 2014, https://doi.org/10.1111/aas.12410
  3. Ultrasound-guided interventional procedures for chronic pain management vol.5, pp.6, 2015, https://doi.org/10.2217/pmt.15.46
  4. Meralgia paraesthetica: Ultrasound-guided injection at multiple levels with 12-month follow-up vol.26, pp.3, 2016, https://doi.org/10.1007/s00330-015-3874-1
  5. Evaluating the evidence: is neurolysis or neurectomy a better treatment for meralgia paresthetica? vol.159, pp.5, 2017, https://doi.org/10.1007/s00701-017-3136-x
  6. Ultrasound-Guided Diagnosis and Injection of the Lateral Femoral Cutaneous Nerve with an Anatomical Variation vol.17, pp.8, 2017, https://doi.org/10.1111/papr.12559
  7. A case report vol.97, pp.9, 2018, https://doi.org/10.1097/MD.0000000000009374
  8. Surgical options for meralgia paresthetica: long-term outcomes in 13 cases pp.1360-046X, 2019, https://doi.org/10.1080/02688697.2018.1538480
  9. Concurrent meralgia paresthetica and radiculopathy of the left leg -A case report- vol.12, pp.1, 2017, https://doi.org/10.17085/apm.2017.12.1.81
  10. Meralgia Paresthetica After Spine Surgery on the Jackson Table vol.31, pp.2, 2011, https://doi.org/10.1097/bsd.0000000000000593
  11. Ultrasound-guided peripheral nerve interventions for common pain disorders vol.28, pp.1, 2018, https://doi.org/10.4103/ijri.ijri_108_17
  12. Novel utilization of fascial layer blocks in hip and knee procedures vol.33, pp.4, 2011, https://doi.org/10.1016/j.bpa.2019.07.010
  13. Extra-spinal sciatica and sciatica mimics: a scoping review vol.33, pp.4, 2020, https://doi.org/10.3344/kjp.2020.33.4.305