Diagnosis of Ilioinguinal Nerve Injury Based on Electromyography and Ultrasonography: A Case Report.
10.5535/arm.2017.41.4.705
- Author:
Hee Mun CHO
1
;
Dong Sik PARK
;
Dong Hyun KIM
;
Ho Sung NAM
Author Information
1. Department of Rehabilitation Medicine, Hallym University Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. skyler02@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Ilioinguinal neuralgia;
Electromyography;
Ultrasonography
- MeSH:
Burns;
Diagnosis*;
Electromyography*;
Groin;
Herniorrhaphy;
Needles;
Nerve Block;
Neuralgia;
Scrotum;
Ultrasonography*
- From:Annals of Rehabilitation Medicine
2017;41(4):705-708
- CountryRepublic of Korea
- Language:English
-
Abstract:
Being located in the hypogastric area, the ilioinguinal nerve, together with iliohypogastric nerve, can be damaged during lower abdominal surgeries. Conventionally, the diagnosis of ilioinguinal neuropathy relies on clinical assessments, and standardized diagnostic methods have not been established as of yet. We hereby report the case of young man who presented ilioinguinal neuralgia with symptoms of burning pain in the right groin and scrotum shortly after receiving inguinal herniorrhaphy. To raise the diagnostic certainty, we used a real-time ultrasonography (US) to guide a monopolar electromyography needle to the ilioinguinal nerve, and then performed a motor conduction study. A subsequent US-guided ilioinguinal nerve block resulted in complete resolution of the patient's neuralgic symptoms.
