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Case Report
Available online 3 March 2022
Spinal cord stimulation to treat meralgia paresthetica. Is it feasible? A case report
Estimulación medular como tratamiento de la meralgia parestésica. ¿Es factible? Reporte de caso
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Fernando J. Rascón-Ramírez
Corresponding author
drfernandorascon@gmail.com

Corresponding author.
, Borja Ferrández-Pujante, Alejandra Arévalo-Saénz, Andrés C. Vargas-Jiménez
Servicio de Neurocirugía, Hospital Clínico San Carlos, Madrid, Spain
Received 17 August 2021. Accepted 10 October 2021
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Table 1. Features differentiating our case from the one published by Barna et al.
Abstract

Meralgia paresthetica is a neurological disorder caused by a neuropathy of the lateral femoral cutaneous nerve. Its aetiology can be spontaneous or iatrogenic. It is characterized by pain, paresthesia, and numbness in the anterolateral aspect of the thigh. Diagnosis is based on clinical examination, although image and neurophysiological tests can be useful as well. Despite conservative measures use to be effective in most of patients, refractory cases can benefit from alternative treatments. Available surgical procedures are: nerve decompression (neurolysis) or section (neurectomy) and radiofrequency ablation. We present a case of refractory meralgia paresthetica where spinal cord stimulation was used as a possible effective technique in pain relief and to avoid the neurectomy of the lateral femoral cutaneous nerve.

Keywords:
Case report
Meralgia paresthetica
Spinal cord stimulation
Neuropathy
Lateral femoral cutaneous nerve
Resumen

La meralgia parestésica es un desorden neurológico causado por una neuropatía del nervio fémoro-cutáneo lateral. Su etiología puede ser idiopática o iatrogénica. Se caracteriza por dolor, parestesias y entumecimiento en la cara antero-lateral del muslo. Su diagnóstico es básicamente clínico, aunque pueden ser útiles pruebas de imagen o neurofisiológicas. A pesar de que el tratamiento conservador suele ser eficaz en la mayoría de pacientes, existen casos refractarios que pueden precisar de otras formas de tratamiento. Los procedimientos quirúrgicos disponibles son la descompresión nerviosa (neurolisis) o la sección (neurectomía) y las ablaciones por radiofrecuencia. Presentamos un caso de meralgia parestésica invalidante refractaria en el cual empleamos la estimulación medular como posible técnica eficaz en el alivio del dolor y poder evitar la realización de una neurectomía del nervio fémoro-cutáneo lateral.

Palabras clave:
Reporte de caso
Meralgia parestésica
Estimulación medular
Neuropatía
Nervio femorocutáneo lateral

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