Cases reported "Femoral Neuropathy"

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1/23. Postoperative lateral femoral cutaneous neuropathy.

    Lateral femoral cutaneous (LFC) neuropathy was diagnosed in a woman who developed pain and paresthesias in the right thigh 6 days after abdominal hysterectomy by a suprapubic approach. After surgery, the patient slept in the fetal position to control the postoperative suprapubic pain. The LFC neuropathy improved with therapy including avoidance of hip flexion during sleep. Prolonged postoperative hip flexion to relieve the abdominal incisional pain provides an explanation for LFC neuropathy after abdominal surgery when the onset of symptoms is delayed.
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2/23. femoral neuropathy: an infrequently reported postoperative complication. Report of four cases.

    Postoperative femoral neuropathy is an uncommon complication of abdominal surgery. We present four cases occurring after colectomy at our institution and discuss the diagnosis and treatment.
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3/23. femoral neuropathy secondary to ossification of the ligamentum flavum.

    radiculopathy resulting from ossification of the ligamentum flavum (OLF) is extremely rare and concerns only intercostal neuralgias. We describe a 37-year-old Caucasian woman with a lumbar radiculopathy revealing an OLF. Her symptoms were completely and definitively relieved by surgery.
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4/23. Posterior femoral cutaneous nerve mononeuropathy: a case report.

    Isolated posterior femoral cutaneous nerve (PFCN) lesions are rare, with only six cases reported in the modern literature and one case documented with a nerve conduction study. A 25-year-old woman had sensory loss in the posterolateral thigh after two right gluteal intramuscular injections. Nerve conduction studies using Dumitru's technique showed a 9microV response on the asymptomatic side, but no response on the symptomatic side, and no abnormalities on needle examination of the back and lower extremities. Although a single case does not prove the validity of a technique, this case provides the rare opportunity to demonstrate the utility of Dumitru's technique.
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5/23. Retroperitoneal haematoma after paracetamol increased anticoagulation.

    Drugs containing paracetamol are widely used as analgesics but may result in increased anticoagulation in patients who take warfarin, the mechanism being unclear. Retroperitoneal haemorrhage is a serious and well described complication in patients who develop increased anticoagulation; this may result in a femoral neuropathy. Both conservative and surgical treatments have been advocated for this complication.
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6/23. Retroperitoneal hematoma associated with femoral neuropathy: a complication under antiplatelets therapy.

    We report a case of retroperitoneal hematoma presenting as femoral nerve pulsy on antiplatelet therapy. The patient, a 78-year-old man who had undergone antiplatelet treatment using ticlopidine, was admitted to our hospital with complaints of sudden-onset low abdominal and back pain. Computed tomography showed an iso-density mass in the right retroperitoneum within the psoas muscle. We made a diagnosis of retroperitoneal hematoma compressing the femoral nerve and performed an operation to remove the hematoma in order to decompress the femoral neuropathy. Postoperatively, the patient rapidly recovered from the femoral neuropathy. In the particular case in which no antagonist against the ticlopidine is available, surgical decompression could produce a good outcome.
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7/23. femoral nerve palsy caused by a self-retaining polyretractor during major pelvic surgery.

    Postoperative femoral neuropathy is not a well-recognized complication in urology. We report 2 cases of femoral nerve palsy due to compression ascribed to the use of the self-retaining retractor. In the first case, the left femoral nerve was injured, and in the second case nerve injury was bilateral and synchronous. The clinical symptoms were a weakness of the quadriceps muscle and sensory anesthesia of the surrounding skin.
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keywords = neuropathy
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8/23. Meralgia paresthetica occurring 40 years after iliac bone graft harvesting: case report.

    OBJECTIVE AND IMPORTANCE: Meralgia paresthetica is an entrapment neuropathy involving the lateral femoral cutaneous nerve. We describe an unusual case in which meralgia paresthetica occurred many years after iliac bone graft harvesting. CLINICAL PRESENTATION: An 81-year-old man presented with a 1-year history of pain, dysesthesia, and hypesthesia in the anterolateral aspect of the right thigh. This patient had undergone iliac bone grafting when he sustained a calcaneal fracture 40 years previously. Radiographs and computed tomographic scans of the pelvis revealed a bony excrescence in the anterosuperior iliac spine. INTERVENTION: The patient underwent neurolysis of the lateral femoral cutaneous nerve and excision of the bony excrescence. At surgery, the nerve was densely adherent to the bony excrescence. CONCLUSION: The etiology of meralgia paresthetica in this patient is considered to be heterotopic ossification on the anterosuperior iliac spine and pubic symphysis degeneration. A significant relationship between pubic symphysis degeneration with increasing age and meralgia paresthetica has been reported. One should be aware of meralgia paresthetica as a late complication of iliac bone graft harvesting.
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keywords = neuropathy
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9/23. Meralgia paresthetica: an unusual complication of cardiac catheterization via the femoral artery.

    Nerve complications following cardiac catheterization via the femoral route are rare. We report a case of meralgia paresthetica, a mononeuropathy affecting the lateral cutaneous nerve of the thigh following uncomplicated cardiac catheterization and percutaneous intervention via this route.
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keywords = neuropathy
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10/23. femoral neuropathy caused by reinforcement ring malposition and extruded bone-cement after revision total hip arthroplasty.

    femoral neuropathy occurred after revision total hip arthroplasty as a result of pressure from the reinforcement ring and extruded bone-cement (polymethyl methacrylate). Four weeks after the revision surgery, we performed an operation to decompress the femoral nerve and allow neurolysis. Neuropathy improved gradually after the subsequent surgery.
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keywords = neuropathy
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