title: Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care Unit.
abstract: Meralgia paresthetica (MP) is a mononeuropathy of the lateral femoral cutaneous nerve (LFCN) caused by external compression of the nerve during its course close to the anterior superior iliac spine. We present a case of a patient with acute respiratory distress induced byLegionellapneumonia who was admitted to the intensive care unit (ICU) for mechanical ventilation. In the ICU, the patient received one session of prone position ventilation for 8.5 consecutive hours. At evaluation six months later, the patient reported persistent bilateral numbness of the anterolateral thigh, which he complained had begun right after he woke up at the ICU. He was referred for further neurological and neurophysiological examination and was diagnosed with bilateral MP, a condition never previously described as a complication to mechanical ventilation in prone position in the ICU.
authors.affiliation: Department of Anesthesiology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Christian Svendsen
authors.identifier: 0000-0001-7869-6536
authors.initials: CS
authors.lastname: Juhl
authors.affiliation: Department of Clinical Neurophysiology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
authors.forename: Martin
authors.initials: M
authors.lastname: Ballegaard
authors.affiliation: Department of Anesthesiology, Intensive Care Unit, Nordsjaellands Hospital, University of Copenhagen, Hillerød, Denmark.
authors.forename: Morten H
authors.initials: MH
authors.lastname: Bestle
authors.affiliation: Department of Neurology, Nordsjaellands Hospital, University of Copenhagen, Hillerød, Denmark; Department of Neurology, Zealand University Hospital in Roskilde, Roskilde, Denmark.
authors.forename: Peer
authors.initials: P
authors.lastname: Tfelt-Hansen