PRIMER FEMORAL TUZAK SENDROMU: OLGU SUNUMU

Key Findings & Data:The symptoms of femoral mononeuropathy could manifest as acute or subacute severe pain in the inguinal region, weakness of the function of quadriceps femoris muscle and a decreased patellar reflex.

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Conclusion & Impact:Femoral nerve entrapment should be taken into consideration in such patients in order to prevent unnecessary surgical interventions

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Entrapment neuropathies of the femoral nerve are uncommon clinical conditions. The symptoms of femoral mononeuropathy could manifest as acute or subacute severe pain in the inguinal region, weakness of the function of quadriceps femoris muscle and a decreased patellar reflex. We present a case with a 40-year-old woman suffering from pain, numbness and progressive weakness in her lower right limb due to an uncommon femoral nerve compression. The case were successfully treated with surgery. The femoral nerve was discovered to be trapped at the level of the inguinal ligament by a scar tissue. This scar tissue was incised and the femoral nerve was relieved. After the operation, her neurological deficits improved completely. Femoral nerve entrapment should be taken into consideration in such patients in order to prevent unnecessary surgical interventions

Özet

Nervus femoralis'in tuzak nöropatisi, nadir rastlanan klinik bir durumdur. Femoral nöropati semptomları, inguinal bölgede akut veya subakut olarak oluşabilen ağrı, m. quadriceps femoris'te güç kaybı ve patellar reflekste zayıflamadır. Bu yazıda, femoral sinirin inguinal ligament seviyesinde sıkışması sonucu ortaya çıkan sağ alt ekstremitede ağrı, duyu kaybı ve progresif güçsüzlük şikayetleri ile kliniğimize başvuran, 40 yaşında kadın hasta sunuldu. Hastaya uygulanan cerrahi girişim sırasında, nervus femoralis'in, ligamentum inguinale seviyesinde, skar dokusu ile sıkışmış olduğu görüldü. Skar doku insize edildi ve nervus femoralis serbestleştirildi. Uygulanan cerrahi girişim sonrasında, hastanın nörolojik defisitleri tamamen düzeldi. Bu bölgede cerrahi girişim gerektiği durumlarda, postoperatif granülasyon dokusu ve fibrosise bağlı femoral sinir sıkışma olasılığı gözardı edilmemelidir

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Cite This Article

FAHRIOGLU, S. L., GÜRKANLAR, D., ER, U. (2017). PRIMER FEMORAL TUZAK SENDROMU: OLGU SUNUMU. Journal of Turkish Spinal Surgery, Cilt: 28 - Sayı: 2, 119–122. https://ajindex.com/articles/201060

References (1)

Al-Ajmi A, Rousseff RT, Khuraibet AJ. Iatrogenic femoral neuropathy: two cases and literature update.J Clin Neuromuscul Dis. Dec;12(2):66-75, 2010 2. Azuelos A, Corò L, Alexandre A. Femoral nerve entrapment. Acta Neurochir 200592 (Suppl.):61-2, 2005 3. Chan JK, Manetta A. Prevention of femoral nerve injuries in gynecologic surgery. Am J Obstet Gynecol 2002; 186(1): 1-7. 4. Farrow A, Morrison R, Pickersgill T, Currie R, Hammersley N. Transient femoral neuropathy after harvest of bone from the iliac crest. Br J Oral Maxillofac Surg 2004; 42(6): 572–574. 5. Moore A, Stringer M. Iatrogenic femoral nerve injury. A systematic review. Surg Radiol Anat 2011; 33: 649-658. 6. Muellner T, Ganko A, Bugge W, Engebretsen L. Isolated femoral mononeuropathy in the athlete. Anatomic considerations and report of two cases. Am J Sports Med 2001; 29(6): 814–817. 7. Piza-Katzer H, Schöller T, Stichelberger M. Iatrogen femoral nerve lesions. Handchir Mikrochir Plast Chir 2009; 41(4):230-237. 8. Pirouzmand F, Midha R. Subacute femoral compressive neuropathy from iliacus compartment hematoma. Can J Neurol Sci 2001; 28(2): 155–158. 9. Stephen L, Ray L, Fred B. Femoral nerve paralysis following open inguinal hernia repair. Am J Med Case Rep 2015; 3(3): 85-87. 10. Seijo-Martinez M, Castro del Rio M, Fontoira E, Fontoira M. Acute femoral neuropathy secondary to an iliacus muscle hematoma. J Neurol Sci 2003; 209(1–2): 119–122. 11. Tamai K, Kuramochi T, Sakai H, Iwami N, Saotome K. Complete paralysis of the quadriceps muscle caused by traumatic iliacus hematoma: a case report. J Orthop Sci 2002; 7(6): 713–716. 12.Wigley CB, Williams PL, Kettenmann H. Nervous system. In: Standring S. Gray’s Anatomy. The Anatomical Basis of Clinical Practise. 41th Ed., Elsevier Press, Philadelphia 2015; pp: 1280-1281.