Meralgia paraesthetica
Updates to Article Attributes
Meralgia paraesthetica refers to a mononeuropathy of the lateral femoral cutaneous nerve.
Clinical presentation
Patients often describe burning, coldness, lightning pain, deep muscle achiness, tingling, frank anesthesia, or local hair loss in the anterolateral thigh region.
Pathology
It may result from either an entrapment neuropathy or a neuroma involving the lateral femoral cutaneous nerve. The nerve can also be injured by mechanical compression at the level of the inguinal ligament.
Treatment and prognosis
Image-guided nerve block and steroid injection may play a role in selected cases.
History and etymology
It was was first described by Hager 18-10. Ten years later, in 1895, Bernhardt and Roth independently published on their experiences with meralgia paraesthetica. Although, it is Roth who coined the term "meralgia paraesthetica". Hence its alternative moniker, "Bernhardt–Roth syndrome" 10-12.
-<p><strong>Meralgia paraesthetica</strong> refers to a mononeuropathy of the <a href="/articles/lateral-femoral-cutaneous-nerve">lateral femoral cutaneous nerve</a>.</p><h4>Clinical presentation</h4><p>Patients often describe burning, coldness, lightning pain, deep muscle achiness, tingling, frank anesthesia, or local hair loss in the anterolateral thigh region.</p><h4>Pathology</h4><p>It may result from either an entrapment neuropathy or a neuroma involving the lateral femoral cutaneous nerve. The nerve can also be injured by mechanical compression at the level of the <a href="/articles/inguinal-ligament">inguinal ligament</a>. </p><h4>Treatment and prognosis</h4><p>Image-guided nerve block and steroid injection may play a role in selected cases.</p><h4>History and etymology</h4><p>It was was first described by <strong>Hager</strong> in 1885<sup> 1</sup>. </p>- +<p><strong>Meralgia paraesthetica</strong> refers to a mononeuropathy of the <a href="/articles/lateral-femoral-cutaneous-nerve">lateral femoral cutaneous nerve</a>.</p><h4>Clinical presentation</h4><p>Patients often describe burning, coldness, lightning pain, deep muscle achiness, tingling, frank anesthesia, or local hair loss in the anterolateral thigh region.</p><h4>Pathology</h4><p>It may result from either an <a href="/articles/entrapment-neuropathy">entrapment neuropathy</a> or a <a href="/articles/neuroma-general">neuroma</a> involving the lateral femoral cutaneous nerve. The nerve can also be injured by mechanical compression at the level of the <a href="/articles/inguinal-ligament">inguinal ligament</a>. </p><h4>Treatment and prognosis</h4><p>Image-guided nerve block and steroid injection may play a role in selected cases.</p><h4>History and etymology</h4><p>It was first described by M Bernhardt in 1878, and in 1885, W Hager wrote up a case of a painful hip due to a traumatic injury of the lateral cutaneous nerve <sup>8-10</sup>. Ten years later, in 1895, Bernhardt and Roth independently published on their experiences with meralgia paraesthetica. Although, it is Roth who coined the term "meralgia paraesthetica". Hence its alternative moniker, "Bernhardt–Roth syndrome" <sup>10-12</sup>.</p>
References changed:
- 8. Bernhardt M. Neuropathologische Beobachtungen. I. periphere Lahmungen. D Arch Klin Med. 1878;22:362–93.
- 9. Hager W. Neuralgia femoris. Resection des Nerv. cutan. femoris anterior externus. Heilung. Deutsch Med Wochenschr 1885;11:218–9.
- 10. Harney D & Patijn J. Meralgia Paresthetica: Diagnosis and Management Strategies. Pain Med. 2007;8(8):669-77. <a href="https://doi.org/10.1111/j.1526-4637.2006.00227.x">doi:10.1111/j.1526-4637.2006.00227.x</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/18028045">Pubmed</a>
- 11. Bernhardt M. Ueber Isolirt im Gebiete des N. cutaneous femoris externus vorkommende Parasthesien. Neurol Centrabl 1895;14:242–4.
- 12. Roth V. [Meralgia Paresthetica]. Med Obozr 1895;43:678.
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