Meralgia paraesthetica

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 in 1885.

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