title: Alcohol neurolysis of lateral femoral cutaneous nerve for recurrent meralgia paresthetica.
abstract: Meralgia paresthetica is an entrapment mononeuropathy of lateral femoral cutaneous nerve, which results in localized area of paresthesia and numbness on the anterolateral aspect of the thigh. We describe the use of alcohol neurolysis of lateral femoral cutaneous nerve in a 74-year-old female who presented with paresthesia over antero-lateral aspect of her left thigh, which was consistent with meralgia paresthetica. Diagnostic block with local anaesthetic confirmed the diagnosis but only archieved temporary pain relief. Alcohol neurolysis was then offered and patient responded well with no complication. The patient experienced prolonged pain relief at 6-month follow-up, with return of ability to ambulate and perform daily activity. Alcohol neurolysis of lateral femoral cutaneous nerve is safe, effective and able to provide sustained pain relief for recurrent meralgia paresthetica.
authors.affiliation: Department of Anaesthesiology, Sarawak General Hospital, Kuching, Malaysia. leshally@hotmail.com
authors.forename: Chee Kean
authors.initials: CK
authors.lastname: Chen
authors.forename: Vui Eng
authors.initials: VE
authors.lastname: Phui
authors.forename: Mat Ariffin
authors.initials: MA
authors.lastname: Saman
mesh_terms: D000368:Aged; D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D000431:Ethanol / Q000008:administration & dosage*; D005260:Female; D005267:Femoral Nerve / Q000187:drug effects*; D020428:Femoral Neuropathy; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D009408:Nerve Compression Syndromes / Q000628:therapy*
chemical_list: D000779:Anesthetics, Local; D000431:Ethanol; D002045:Bupivacaine