Meralgia Paresthetica After Liver Transplantation: A Case Report

The focal neuropathies after orthotropic liver transplantation (OLTx) have been well documented to date. Most injuries to the peripheral nervous system involve the peroneal nerve and brachial plexus. We report the first case of lateral femoral cutaneous nerve (LFCN) injury after OLTx. The patient pr...

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Bibliographic Details
Published in:Transplantation proceedings 2005-12, Vol.37 (10), p.4424-4425
Main Authors: Atamaz, F., Hepgüler, S., Karasu, Z., Kilic, M.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Electric Stimulation
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Liver Transplantation - adverse effects
Medical sciences
Nerve Compression Syndromes - diagnosis
Paresthesia - diagnosis
Paresthesia - therapy
Peripheral Nervous System Diseases - diagnosis
Peripheral Nervous System Diseases - therapy
Physical Therapy Modalities
Physical Therapy Specialty
Postoperative Complications - diagnosis
Postoperative Complications - therapy
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue, organ and graft immunology
Treatment Outcome
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Description
Summary:The focal neuropathies after orthotropic liver transplantation (OLTx) have been well documented to date. Most injuries to the peripheral nervous system involve the peroneal nerve and brachial plexus. We report the first case of lateral femoral cutaneous nerve (LFCN) injury after OLTx. The patient presented with pain and numbness on the lateral aspect of the right thigh that had progressively worsened since operation. Electrodiagnostic studies were indicative for right meralgia paresthetica (MP). The symptoms of MP improved progressively after physical therapy applications during the first 3 months. The etiology of MP in this case is unclear. However, it may be considered that ascites, surgical mechanisms, and immunosuppressive therapy were possible causative factors.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2005.11.047