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KMID : 1140920170410040705
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Annals of Rehabilitation Medicine
2017 Volume.41 No. 4 p.705 ~ p.708
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Diagnosis of Ilioinguinal Nerve Injury Based on Electromyography and Ultrasonography: A Case Report
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Cho Hee-Mun
Park Dong-Sik
Kim Dong-Hyun
Nam Ho-Sung
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Abstract
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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.
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KEYWORD
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Ilioinguinal neuralgia, Electromyography, Ultrasonography
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