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Clin Neurol Neurosurg · Jul 2007
Case ReportsAcute scrotal pain from idiopathic ilioinguinal neuropathy: diagnosis and treatment with EMG-guided nerve block.
- B C ter Meulen, E W Peters, A Wijsmuller, R F Kropman, A Mosch, and D L J Tavy.
- Departments of Neurology and Neurophysiology, Haga-Ziekenhuis, The Hague, The Netherlands. b.termeulen@erasmusmc.nl <b.termeulen@erasmusmc.nl>
- Clin Neurol Neurosurg. 2007 Jul 1; 109 (6): 535-7.
AbstractIlioinguinal nerve entrapment presents with a clinical triad of pain in the iliac fossa and inguinal region, sensory abnormalities in the cutaneous distribution of the nerve and tenderness on palpation 2-3 cm medial and below the anterior superior iliac spine. The syndrome poses diagnostic difficulties, as genitofemoral nerve entrapment and non-neurological conditions of the lower abdomen may cause similar pain. We report on a patient with acute groin pain radiating towards the scrotum, caused by ilioinguinal nerve entrapment. The clinical diagnosis was strongly suggested by electromyographic examination, using the monopolar needle as a deep stimulating electrode. Subsequent nerve blockade caused complete relief of symptoms. The technique is described. Future applications for treatment of post-surgical pain are discussed.
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