{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:12:06Z","timestamp":1769728326897,"version":"3.49.0"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,8,11]]},"abstract":"\n BACKGROUND<\/jats:title>\n The lateral femoral cutaneous nerve (LFCN) is susceptible to entrapment arising from diverse pathological mechanisms, leading to the clinical condition termed meralgia paresthetica. Common etiologies include compression beneath the inguinal ligament, medical causes of mononeuropathy, and iatrogenic injury during surgical intervention.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n The authors present the case of a 27-year-old military veteran who presented with a 3-year history of right anterolateral thigh pain that he described as excruciating and exacerbated by minimal touch. Six months prior to the onset of symptoms, the patient sustained a blast injury to the groin during combat, and his wound was managed by a field surgeon. Surgical exploration revealed that the LFCN was tightly ligated by a nonabsorbable suture at the level of the inguinal ligament. Gentle incision of the suture facilitated nerve decompression. Examination of the nerve revealed circumferential indentations and localized atrophy at the site of constriction, although its continuity was maintained. The patient had a smooth recovery, with symptom resolution. He was followed for 1 year and showed no new symptoms.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Iatrogenic ligation of the LFCN by a nonabsorbable suture represents a unique cause. Thorough assessment and a high clinical suspicion are crucial for determining the necessity of surgical exploration and neural decompression. Excision of the suture results in adequate decompression.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE25436<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case25436","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T23:43:53Z","timestamp":1754955833000},"source":"Crossref","is-referenced-by-count":0,"title":["Meralgia paresthetica resulting from iatrogenic ligation of the lateral femoral cutaneous nerve: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Seare Halefom","family":"Kahsay","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Mekelle University, Mekele, Tigray State, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4572-6677","authenticated-orcid":true,"given":"Dejen Tekiea","family":"Gebrewahd","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mekelle University, Mekele, Tigray State, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kidanemariam Abrha","family":"Teka","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Mekelle University, Mekele, Tigray State, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1513-8552","authenticated-orcid":true,"given":"Hayelom Atsbha","family":"Gebremichael","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Mekelle University, Mekele, Tigray State, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeamanuel Berihu","family":"Teshome","sequence":"additional","affiliation":[{"name":"Department of Radiology, Mekelle University, Mekele, Tigray State, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"World Neurosurg","first-page":"e687","article-title":"Anatomic variations of the lateral femoral cutaneous nerve: remnants of atypical nerve growth pathways revisited by intraneural fascicular dissection and a proposed classification","volume":"118","author":"Ha\u0142adaj","year":"2018","unstructured":"Ha\u0142adaj RWysiadecki GMacchi VAnatomic variations of the lateral femoral cutaneous nerve: remnants of atypical nerve growth pathways revisited by intraneural fascicular dissection and a proposed classification. World Neurosurg. 2018;118:e687-e698."},{"issue":"3","key":"bib2","series-title":"J Orthop Trauma","first-page":"207","article-title":"Anatomical variations of the lateral femoral cutaneous nerve and the consequences for surgery","volume":"13","author":"De Ridder","year":"1999","unstructured":"De Ridder VADe Lange SPopta JV.Anatomical variations of the lateral femoral cutaneous nerve and the consequences for surgery. J Orthop Trauma. 1999;13(3):207-211."},{"issue":"5","key":"bib3","series-title":"Muscle Nerve","first-page":"646","article-title":"Anatomy of the lateral femoral cutaneous nerve relevant to clinical findings in meralgia paresthetica","volume":"55","author":"Lee","year":"2016","unstructured":"Lee S Shin KGil YHa TKoh KSong W.Anatomy of the lateral femoral cutaneous nerve relevant to clinical findings in meralgia paresthetica. Muscle Nerve. 2016;55(5):646-650."},{"key":"bib4","series-title":"Health Psychol Res","first-page":"71454","article-title":"Meralgia paresthetica review: update on presentation, pathophysiology, and treatment","volume":"11","author":"Gomez","year":"2023","unstructured":"Gomez YCRemotti EMomah DUMeralgia paresthetica review: update on presentation, pathophysiology, and treatment. Health Psychol Res. 2023;11:71454."},{"issue":"6","key":"bib5","series-title":"Int J Sports Phys Ther","first-page":"883","article-title":"Meralgia paresthetica: a review of the literature","volume":"8","author":"Cheatham","year":"2013","unstructured":"Cheatham SWKolber MJSalamh PA.Meralgia paresthetica: a review of the literature. Int J Sports Phys Ther. 2013;8(6):883-893."},{"issue":"1","key":"bib6","series-title":"Neurosurg Rev","first-page":"107","article-title":"Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience","volume":"46","author":"De Ruiter","year":"2023","unstructured":"De Ruiter GCWOosterhuis JWAVissers TFHKloet A.Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience. Neurosurg Rev. 2023;46(1):107."},{"issue":"39","key":"bib7","series-title":"Dtsch \u00c4rztebl Int","first-page":"655","article-title":"Meralgia paresthetica: relevance, diagnosis, and treatment","volume":"120","author":"Scholz","year":"2023","unstructured":"Scholz CHohenhaus MPedro MTUerschels AKDengler NF.Meralgia paresthetica: relevance, diagnosis, and treatment. Dtsch \u00c4rztebl Int. 2023;120(39):655-661."},{"issue":"5","key":"bib8","series-title":"Anesth Analg","first-page":"1060","article-title":"Management of meralgia paresthetica: a multimodality regimen","volume":"80","author":"Scholz Dureja","year":"1995","unstructured":"Scholz Dureja GPGulaya VJayalakshmi TSMandal P.Management of meralgia paresthetica: a multimodality regimen. Anesth Analg. 1995;80(5):1060-1061."},{"issue":"3","key":"bib9","series-title":"Pain Physician","first-page":"253","article-title":"Conservative treatment versus ultrasound guided injection in the management of meralgia paresthetica: a randomized controlled trial","volume":"23","author":"\u00d6zt\u00fcrk","year":"2020","unstructured":"\u00d6zt\u00fcrk G.Conservative treatment versus ultrasound guided injection in the management of meralgia paresthetica: a randomized controlled trial. Pain Physician. 2020;23(3):253-264."},{"issue":"33","key":"bib10","series-title":"Medicine","first-page":"e11914","article-title":"Surgical decompression of the lateral femoral cutaneous nerve (LFCN) for meralgia paresthetica treatment: experimental or state of the art? A single-center outcome analysis","volume":"97","author":"Schwaiger","year":"2018","unstructured":"Schwaiger KPanzenbeck PPurschke MSurgical decompression of the lateral femoral cutaneous nerve (LFCN) for meralgia paresthetica treatment: experimental or state of the art? A single-center outcome analysis. Medicine. 2018;97(33):e11914."},{"key":"bib11","series-title":"Interdiscip Neurosurg","first-page":"84","article-title":"Meralgia paresthetica following prone position in posterior lumbar spinal surgery: case series and review of the literature","volume":"8","author":"Majmundar","year":"2017","unstructured":"Majmundar NJShastri DAssina RGoldstein IM.Meralgia paresthetica following prone position in posterior lumbar spinal surgery: case series and review of the literature. Interdiscip Neurosurg. 2017;8:84-88."},{"issue":"5","key":"bib12","series-title":"Cureus","first-page":"e60440","article-title":"Meralgia paresthetica: a report of a rare case","volume":"16","author":"Vasconcelos Fonseca","year":"2024","unstructured":"Vasconcelos Fonseca CDias JPimenta TVarandas Borges ACotter MJ.Meralgia paresthetica: a report of a rare case. Cureus. 2024;16(5):e60440."},{"key":"bib1","series-title":"World Neurosurg","first-page":"e687","article-title":"Anatomic variations of the lateral femoral cutaneous nerve: remnants of atypical nerve growth pathways revisited by intraneural fascicular dissection and a proposed classification","volume":"118","author":"Ha\u0142adaj","year":"2018","unstructured":"Ha\u0142adaj RWysiadecki GMacchi VAnatomic variations of the lateral femoral cutaneous nerve: remnants of atypical nerve growth pathways revisited by intraneural fascicular dissection and a proposed classification. World Neurosurg. 2018;118:e687-e698."},{"issue":"3","key":"bib2","series-title":"J Orthop Trauma","first-page":"207","article-title":"Anatomical variations of the lateral femoral cutaneous nerve and the consequences for surgery","volume":"13","author":"De Ridder","year":"1999","unstructured":"De Ridder VADe Lange SPopta JV.Anatomical variations of the lateral femoral cutaneous nerve and the consequences for surgery. J Orthop Trauma. 1999;13(3):207-211."},{"issue":"5","key":"bib3","series-title":"Muscle Nerve","first-page":"646","article-title":"Anatomy of the lateral femoral cutaneous nerve relevant to clinical findings in meralgia paresthetica","volume":"55","author":"Lee","year":"2016","unstructured":"Lee S Shin KGil YHa TKoh KSong W.Anatomy of the lateral femoral cutaneous nerve relevant to clinical findings in meralgia paresthetica. Muscle Nerve. 2016;55(5):646-650."},{"key":"bib4","series-title":"Health Psychol Res","first-page":"71454","article-title":"Meralgia paresthetica review: update on presentation, pathophysiology, and treatment","volume":"11","author":"Gomez","year":"2023","unstructured":"Gomez YCRemotti EMomah DUMeralgia paresthetica review: update on presentation, pathophysiology, and treatment. Health Psychol Res. 2023;11:71454."},{"issue":"6","key":"bib5","series-title":"Int J Sports Phys Ther","first-page":"883","article-title":"Meralgia paresthetica: a review of the literature","volume":"8","author":"Cheatham","year":"2013","unstructured":"Cheatham SWKolber MJSalamh PA.Meralgia paresthetica: a review of the literature. Int J Sports Phys Ther. 2013;8(6):883-893."},{"issue":"1","key":"bib6","series-title":"Neurosurg Rev","first-page":"107","article-title":"Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience","volume":"46","author":"De Ruiter","year":"2023","unstructured":"De Ruiter GCWOosterhuis JWAVissers TFHKloet A.Unusual causes for meralgia paresthetica: systematic review of the literature and single center experience. Neurosurg Rev. 2023;46(1):107."},{"issue":"39","key":"bib7","series-title":"Dtsch \u00c4rztebl Int","first-page":"655","article-title":"Meralgia paresthetica: relevance, diagnosis, and treatment","volume":"120","author":"Scholz","year":"2023","unstructured":"Scholz CHohenhaus MPedro MTUerschels AKDengler NF.Meralgia paresthetica: relevance, diagnosis, and treatment. Dtsch \u00c4rztebl Int. 2023;120(39):655-661."},{"issue":"5","key":"bib8","series-title":"Anesth Analg","first-page":"1060","article-title":"Management of meralgia paresthetica: a multimodality regimen","volume":"80","author":"Scholz Dureja","year":"1995","unstructured":"Scholz Dureja GPGulaya VJayalakshmi TSMandal P.Management of meralgia paresthetica: a multimodality regimen. Anesth Analg. 1995;80(5):1060-1061."},{"issue":"3","key":"bib9","series-title":"Pain Physician","first-page":"253","article-title":"Conservative treatment versus ultrasound guided injection in the management of meralgia paresthetica: a randomized controlled trial","volume":"23","author":"\u00d6zt\u00fcrk","year":"2020","unstructured":"\u00d6zt\u00fcrk G.Conservative treatment versus ultrasound guided injection in the management of meralgia paresthetica: a randomized controlled trial. Pain Physician. 2020;23(3):253-264."},{"issue":"33","key":"bib10","series-title":"Medicine","first-page":"e11914","article-title":"Surgical decompression of the lateral femoral cutaneous nerve (LFCN) for meralgia paresthetica treatment: experimental or state of the art? A single-center outcome analysis","volume":"97","author":"Schwaiger","year":"2018","unstructured":"Schwaiger KPanzenbeck PPurschke MSurgical decompression of the lateral femoral cutaneous nerve (LFCN) for meralgia paresthetica treatment: experimental or state of the art? A single-center outcome analysis. Medicine. 2018;97(33):e11914."},{"key":"bib11","series-title":"Interdiscip Neurosurg","first-page":"84","article-title":"Meralgia paresthetica following prone position in posterior lumbar spinal surgery: case series and review of the literature","volume":"8","author":"Majmundar","year":"2017","unstructured":"Majmundar NJShastri DAssina RGoldstein IM.Meralgia paresthetica following prone position in posterior lumbar spinal surgery: case series and review of the literature. Interdiscip Neurosurg. 2017;8:84-88."},{"issue":"5","key":"bib12","series-title":"Cureus","first-page":"e60440","article-title":"Meralgia paresthetica: a report of a rare case","volume":"16","author":"Vasconcelos Fonseca","year":"2024","unstructured":"Vasconcelos Fonseca CDias JPimenta TVarandas Borges ACotter MJ.Meralgia paresthetica: a report of a rare case. Cureus. 2024;16(5):e60440."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/6\/article-CASE25436.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/6\/article-CASE25436.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/6\/article-CASE25436.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:09:10Z","timestamp":1769684950000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/6\/article-CASE25436.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,11]]},"references-count":24,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/case25436","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,11]]}}}