Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care Unit.
Meralgia Paresthetica after Prone Positioning Ventilation in the Intensive Care Unit.
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DOI：
10.1155/2016/7263201
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发表时间：
2016
影响因子：
--
通讯作者：
Tfelt-Hansen P
中科院分区：
文献类型：
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作者：
Juhl CS;Ballegaard M;Bestle MH;Tfelt-Hansen P
感觉异常神经痛（MP）是一种股外侧皮神经（LFCN）的单神经病变，是由靠近髂前上棘的神经在其运动过程中受到外部压迫引起的。我们提出了一个病例的病人急性呼吸窘迫由军团菌肺炎谁被承认为重症监护病房（ICU）机械通气。在ICU，患者接受1次俯卧位通气，连续8.5小时。在六个月后的评估中，患者报告持续的双侧大腿前外侧麻木，他抱怨在ICU醒来后就开始了。他接受了进一步的神经和神经生理检查，并被诊断为双侧MP，这种情况以前从未被描述为ICU俯卧位机械通气的并发症。
Meralgia paresthetica (MP) is a mononeuropathy of the lateral femoral cutaneous nerve (LFCN) caused by external compression of the nerve during its course close to the anterior superior iliac spine. We present a case of a patient with acute respiratory distress induced by Legionella pneumonia who was admitted to the intensive care unit (ICU) for mechanical ventilation. In the ICU, the patient received one session of prone position ventilation for 8.5 consecutive hours. At evaluation six months later, the patient reported persistent bilateral numbness of the anterolateral thigh, which he complained had begun right after he woke up at the ICU. He was referred for further neurological and neurophysiological examination and was diagnosed with bilateral MP, a condition never previously described as a complication to mechanical ventilation in prone position in the ICU.