meralgia paresthetica, chirurgische behandeling, neurolyse, neurectomie
Conditions
Interventions
Neurolysis vs neurectomy
Sponsors
Medical Center Haaglanden
Eligibility
Inclusion criteria
Inclusion criteria: • Age 18-65 years • Diagnosis of resistant idiopathic meralgia paresthetica, which must include: o Symptoms of a burning or tingling sensation in the anterolateral part of one or two thighs o At least 3 months of conservative treatment consisting of weight reduction (in case of overweight), avoiding wear of tight cloths, reducing repetitive motion (for example cycling), pain medication and local injection of corticosteroids o One or more positive nerve block(s) (local infiltration with lidocaine) and/or abnormal SSEP or delayed conduction time LFCN • Ability and willingness to comply with project requirements • Written informed consent given by the subject
Exclusion criteria
Exclusion criteria: • Previous surgery for meralgia paresthetica • Nerve root compression on MRI of the lumbar spine • Intra-abdominal lesion or previous abdominal surgery, including qynecologic surgery, surgery for inguinal herniation, hip surgery • No other previous trauma to the inguinal area, which may have caused symptoms of meralgia paresthetica, including fe seat-belt injury • Severe mental or psychiatric disorder • Inadequate Dutch or English language • Planned (e)migration abroad in the year after inclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Good outcome Likert scale (1/2) | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS, Bothersomeness index | — |
Contacts
Public ContactGodard Ruiter, de
Neurochirurgie MC Haaglanden Ziekenhuis Bronovo
Outcome results
None listed