Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care Unit

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 by Legionella pneumonia who wa...

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Main Authors: Christian Svendsen Juhl, Martin Ballegaard, Morten H. Bestle, Peer Tfelt-Hansen
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2016/7263201
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author Christian Svendsen Juhl
Martin Ballegaard
Morten H. Bestle
Peer Tfelt-Hansen
author_facet Christian Svendsen Juhl
Martin Ballegaard
Morten H. Bestle
Peer Tfelt-Hansen
author_sort Christian Svendsen Juhl
collection DOAJ
description 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 by Legionella pneumonia 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.
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series Case Reports in Critical Care
spelling doaj-art-e7f259c5fe7e44fea02fbb47ea9df8f82025-02-03T05:51:24ZengWileyCase Reports in Critical Care2090-64202090-64392016-01-01201610.1155/2016/72632017263201Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care UnitChristian Svendsen Juhl0Martin Ballegaard1Morten H. Bestle2Peer Tfelt-Hansen3Department of Anesthesiology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, DenmarkDepartment of Clinical Neurophysiology, Rigshospitalet, University of Copenhagen, Copenhagen, DenmarkDepartment of Anesthesiology, Intensive Care Unit, Nordsjaellands Hospital, University of Copenhagen, Hillerød, DenmarkDepartment of Neurology, Nordsjaellands Hospital, University of Copenhagen, Hillerød, DenmarkMeralgia 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 by Legionella pneumonia 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.http://dx.doi.org/10.1155/2016/7263201
spellingShingle Christian Svendsen Juhl
Martin Ballegaard
Morten H. Bestle
Peer Tfelt-Hansen
Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care Unit
Case Reports in Critical Care
title Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care Unit
title_full Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care Unit
title_fullStr Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care Unit
title_full_unstemmed Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care Unit
title_short Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care Unit
title_sort meralgia paresthetica after prone positioning ventilation in the intensive care unit
url http://dx.doi.org/10.1155/2016/7263201
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AT peertfelthansen meralgiaparestheticaafterpronepositioningventilationintheintensivecareunit