Limb Girdle Muscular Dystrophy (LGMD): Case Report

Kanitkar, Shubhangi A.; Kalyan, Meenakshi; Gaikwad, Anu N.; Makadia, Ankit; Shah, Harshad

doi:10.7860/jcdr/2015/10107.5486

Cited by 1 publication

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“…Limb-girdle muscular dystrophy (LGMD) is a heterogeneous group of hereditary, progressive neuromuscular diseases, with primary involvement of the pelvic and shoulder girdle muscles. 1 However, different musculoskeletal symptoms, such as distal muscle weakness, muscle hypertrophy and contracture may be in the clinical picture. 2 Meralgia paraesthetica (MP) is an entrapment neuropathy of lateral femoral cutaneous nerve (LFCN), resulting in numbness and/or paraesthesia in the anterolateral region of the thigh, which is the area of distribution of this nerve.…”

Section: Introductionmentioning

confidence: 99%

A rare presentation of meralgia paraesthetica in limb girdle muscular dystrophy

et al. 2017

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A 44-year-old female with paraesthesia and pain on the left anterolateral thigh who had been diagnosed with limb-girdle muscular dystrophy by electromyography and muscle biopsy is presented. Neurological examination revealed atrophy of the proximal muscles of both shoulders, plus pseudo hypertrophy of both calves. Electromyography exhibited a myopathic pattern. Musculoskeletal ultrasound imaging demonstrated a fusiform nerve swelling below the inguinal ligament suggesting lateral femoral cutaneous nerve compression, consistent with meralgia paraesthetica. Treatment with a perineural injection of betamethasone dipropionate and betamethasone sodium phosphate combination, and prilocaine-HCl, under ultrasound guidance, was performed. Symptoms resolved within 6 h. At 3-week follow-up, the patient was asymptomatic, and there was no paraesthesia or pain on examination. In this case, ultrasound-guided perineural injection of the lateral femoral cutaneous nerve with local anaesthetics and steroid served both diagnostic and therapeutic functions.

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Section: Introductionmentioning

confidence: 99%