Abstract
The objective is to describe an atypical case ofBernhardt-Roth syndrome, manifested without paresthesia and hypesthesia in the zone of innervation of the lateral femoral cutaneous nerve and accompanied by an intermittent limp and to demonstrate the effectiveness of surgical treatment of an atypical variant of this tunnel syndrome. Materials and methods. A pain intensity (on a visual analog scale), neurological status, walking ability, lower extremity function (on a Lower Extremity Functional Scale), and quality of life (using a NeuroQoL questionnaire), as well as the results of electroneuromiography, ultrasound examination of the nerves of the lower extremities, and magnetic resonance imaging of the hip joint were assessed before and after surgery in patient with Bernhardt-Roth syndrome. Results. A patient with an atypical variant of Bernhardt-Roth syndrome underwent neurolysis of the lateral femoral cutaneous nerve. The positive effect of surgical treatment (improving the quality of life and restoring the functional status of the lower limb) was revealed. Conclusion. Neurolysis of the lateral femoral cutaneous nerve is effective in the atypical version ofBernhardt—Roth syndrome.
Highlights
Цель работы – описать атипичный случай болезни Бернгардта–Рота, характеризующийся отсутствием парестезии и гипестезии в зоне иннервации латерального кожного нерва бедра и сопровождающийся перемежающейся хромотой, и продемонстрировать эффективность его хирургического лечения
The objective is to describe an atypical case of Bernhardt–Roth syndrome, manifested without paresthesia and hypesthesia in the zone of innervation of the lateral femoral cutaneous nerve and accompanied by an intermittent limp and to demonstrate the effectiveness of surgical treatment of an atypical variant of this tunnel syndrome
Neurolysis of the lateral femoral cutaneous nerve is effective in the atypical version of Bernhardt–Roth syndrome
Summary
Цель работы – описать атипичный случай болезни Бернгардта–Рота, характеризующийся отсутствием парестезии и гипестезии в зоне иннервации латерального кожного нерва бедра и сопровождающийся перемежающейся хромотой, и продемонстрировать эффективность его хирургического лечения. У пациента с болезнью Бернгардта–Рота до и после операции оценивали неврологический статус, способность к ходьбе, интенсивность болевого синдрома (по визуально-аналоговой шкале), функцию нижней конечности (по Lower Extremity Functional Scale) и качество жизни (с помощью специального опросника NeuroQoL), а также результаты электронейромиографии, ультразвукового исследования нервов нижних конечностей и магнитно-резонансной томографии тазобедренного сустава. Выполнены декомпрессия и невролиз латерального кожного нерва бедра.
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