Meralgia Paraesthetica after Prone Position Ventilation in a Patient with COVID-19

  • Lucio Marinelli Division of Clinical Neurophysiology, IRCCS Ospedale Policlinico San Martino, Genova, Italy; Department of Neuroscience (DINOGMI), University of Genoa, Genova, Italy
  • Laura Mori Department of Neuroscience (DINOGMI), University of Genoa, Genova, Italy; Division of Neurorehabilitation, IRCCS Ospedale Policlinico San Martino, Genova, Italy
  • Chiara Avanti Department of Neuroscience (DINOGMI), University of Genoa, Genova, Italy; Division of Neurorehabilitation, IRCCS Ospedale Policlinico San Martino, Genova, Italy
  • Filippo Cotellessa Department of Neuroscience (DINOGMI), University of Genoa, Genova, Italy; Division of Neurorehabilitation, IRCCS Ospedale Policlinico San Martino, Genova, Italy
  • Sabrina Fabbri Neurology Unit, P.A. Micone Hospital, ASL3 Genovese, Genova, Italy
  • Cristina Schenone Department of Neuroscience (DINOGMI), University of Genoa, Genova, Italy; Division of Neurorehabilitation, IRCCS Ospedale Policlinico San Martino, Genova, Italy
  • Carlo Trompetto Department of Neuroscience (DINOGMI), University of Genoa, Genova, Italy; Division of Neurorehabilitation, IRCCS Ospedale Policlinico San Martino, Genova, Italy

Keywords

Meralgia paraesthetica, prone position ventilation, COVID-19

Abstract

Background and objectives: One of the most feared complications of COVID-19 is respiratory failure caused by acute respiratory distress syndrome. In order to improve oxygenation and survival, patients admitted to intensive care units and intubated may undergo prone position mechanical ventilation. Prolonged prone positioning may cause meralgia paraesthetica due to lateral femoral cutaneous nerve entrapment between the inguinal ligament and the anterior superior iliac spine. Reports of the first two cases have been recently published.

Case presentation: We describe the case of a 52-year-old man with respiratory failure during COVID-19 infection, who underwent prone position ventilation for 16 hours a day over 19 days and developed persistent burning pain and dysaesthesia on the lateral surface of the thigh bilaterally, diagnosed as meralgia paraesthetica.

Conclusion: This is the second report describing meralgia paraesthetica following prone position ventilation in COVID-19. Given the ongoing pandemic and the inevitability of more patients with severe respiratory distress requiring prone position ventilation, this disabling entrapment condition should be considered and possibly prevented.

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References

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Published: 2020-11-16

Issue: LATEST ONLINE (view)

Section: Articles

How to cite:
1.
Marinelli L, Mori L, Avanti C, Cotellessa F, Fabbri S, Schenone C, Trompetto C. Meralgia Paraesthetica after Prone Position Ventilation in a Patient with COVID-19. EJCRIM 2020;2 doi:10.12890/2020_002039.