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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Scientific Scholar
2021
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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. |
format | Online Article Text |
id | pubmed-8053461 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
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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