Middle cluneal nerve entrapment neuropathy attributable to lumbar disc herniation

BACKGROUND: Middle cluneal nerve entrapment neuropathy (MCN-EN) is a known cause of low back pain (LBP). Here, we succeeded in treating a patient with a lumbar disc herniation who actually had MCN-EN with a nerve block and neurolysis. CASE DESCRIPTION: A 52-year-old female presented with severe left...

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Autores principales: Matsumoto, Juntaro, Isu, Toyohiko, Kim, Kyongsong, Miki, Koichi, Isobe, Masanori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053461/
https://www.ncbi.nlm.nih.gov/pubmed/33880237
http://dx.doi.org/10.25259/SNI_167_2021
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author Matsumoto, Juntaro
Isu, Toyohiko
Kim, Kyongsong
Miki, Koichi
Isobe, Masanori
author_facet Matsumoto, Juntaro
Isu, Toyohiko
Kim, Kyongsong
Miki, Koichi
Isobe, Masanori
author_sort Matsumoto, Juntaro
collection PubMed
description BACKGROUND: Middle cluneal nerve entrapment neuropathy (MCN-EN) is a known cause of low back pain (LBP). Here, we succeeded in treating a patient with a lumbar disc herniation who actually had MCN-EN with a nerve block and neurolysis. CASE DESCRIPTION: A 52-year-old female presented with severe left lower back and lateral thigh pain making it difficult to walk. The lumbar MRI revealed a disc herniation on the left at the L5/S1 level. On palpation, we identified a trigger point on the buttock where the MCN penetrates the long posterior sacroiliac ligament between the posterior superior and inferior iliac spine. Two left-sided MCN blocks, followed by the left MCN neurolysis procedure, were performed under local anesthesia. At the last follow-up, 10 months after surgery, the LBP has not recurred, and she requires no medications for pain control. CONCLUSION: Here, a patient with a left-sided L5S1 disc herniation and low back/leg pain was successfully treated for MCN-EN with nerve block followed by neurolysis.
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spelling pubmed-80534612021-04-19 Middle cluneal nerve entrapment neuropathy attributable to lumbar disc herniation Matsumoto, Juntaro Isu, Toyohiko Kim, Kyongsong Miki, Koichi Isobe, Masanori Surg Neurol Int Case Report BACKGROUND: Middle cluneal nerve entrapment neuropathy (MCN-EN) is a known cause of low back pain (LBP). Here, we succeeded in treating a patient with a lumbar disc herniation who actually had MCN-EN with a nerve block and neurolysis. CASE DESCRIPTION: A 52-year-old female presented with severe left lower back and lateral thigh pain making it difficult to walk. The lumbar MRI revealed a disc herniation on the left at the L5/S1 level. On palpation, we identified a trigger point on the buttock where the MCN penetrates the long posterior sacroiliac ligament between the posterior superior and inferior iliac spine. Two left-sided MCN blocks, followed by the left MCN neurolysis procedure, were performed under local anesthesia. At the last follow-up, 10 months after surgery, the LBP has not recurred, and she requires no medications for pain control. CONCLUSION: Here, a patient with a left-sided L5S1 disc herniation and low back/leg pain was successfully treated for MCN-EN with nerve block followed by neurolysis. Scientific Scholar 2021-03-30 /pmc/articles/PMC8053461/ /pubmed/33880237 http://dx.doi.org/10.25259/SNI_167_2021 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Matsumoto, Juntaro
Isu, Toyohiko
Kim, Kyongsong
Miki, Koichi
Isobe, Masanori
Middle cluneal nerve entrapment neuropathy attributable to lumbar disc herniation
title Middle cluneal nerve entrapment neuropathy attributable to lumbar disc herniation
title_full Middle cluneal nerve entrapment neuropathy attributable to lumbar disc herniation
title_fullStr Middle cluneal nerve entrapment neuropathy attributable to lumbar disc herniation
title_full_unstemmed Middle cluneal nerve entrapment neuropathy attributable to lumbar disc herniation
title_short Middle cluneal nerve entrapment neuropathy attributable to lumbar disc herniation
title_sort middle cluneal nerve entrapment neuropathy attributable to lumbar disc herniation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053461/
https://www.ncbi.nlm.nih.gov/pubmed/33880237
http://dx.doi.org/10.25259/SNI_167_2021
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