Annals of Rehabilitation Medicine

"Humans"

Original Article

Effect of Fascia Penetration in Lateral Femoral Cutaneous Nerve Conduction: Mi-Jeong Yoon, Hye Min Park, Sun Jae Won; Ann Rehabil Med 2020;44(6):459-467. Published online December 31, 2020; DOI: https://doi.org/10.5535/arm.20022

Abstract
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Objective
To evaluate the effect of fascia penetration and develop a new technique for lateral femoral cutaneous nerve (LFCN) conduction studies based on the fascia penetration point (PP) identified using ultrasound.
Methods
The fascia PP of the LFCN was localized in 20 healthy subjects, and sensory nerve action potentials (SNAPs) were obtained at four different stimulation points—2 cm proximal to the PP (2PPP), PP, 2 cm distal to the PP (2DPP), and 4 cm distal to the PP (4DPP). We compared the stimulation technique based on the fascia penetration point (STBFP) with the conventional technique.
Results
The SNAP amplitude of the LFCN was significantly higher when stimulation was performed at the PP and 2DPP than at other stimulation points. Using the STBFP, SNAP responses were elicited in 38 of 40 legs, whereas they were elicited in 32 of 40 legs using the conventional technique (p=0.041). STBFP had a comparable SNAP amplitude and slightly delayed negative peak latency compared to the conventional technique. In terms of the time required, the time spent on STBFP showed a more consistent distribution than the time spent on the conventional technique (two-sample Kolmogorov–Smirnov test, p<0.05).
Conclusion
SNAP of the LFCN significantly changed near the fascia PP, and stimulation at PP and at 2DPP provided high amplitudes. STBFP can help increase the response rate and ensure stable and consistent procedure time of the LFCN conduction study.

Citations

Citations to this article as recorded by

Meralgia Paresthetica as a Result of Surgery With an Emphasis on Harvesting Iliac Bone Grafts: A Review
Sonia N. Singh, Ruby R. Taylor, Chaimae Oualid, Mutaz B. Habal, Seth R. Thaller
Journal of Craniofacial Surgery.2024; 35(7): 1964. CrossRef
Dorsal ulnar cutaneous nerve conduction study based on nerve ultrasound
Eunjin Park, So-youn Chang, Hye Jung Park, Ho-geon Namgung, Sun Jae Won
Scientific Reports.2024;[Epub] CrossRef

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Case Report

Novel Influenza A (H1N1)-Associated Acute Necrotizing Encephalopathy: A Case Report: Ki Jung Kim, Eun Sook Park, Hyun Jung Chang, Miri Suh, Dong-Wook Rha; Ann Rehabil Med 2013;37(2):286-290. Published online April 30, 2013; DOI: https://doi.org/10.5535/arm.2013.37.2.286

Abstract
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Several cases of acute necrotizing encephalopathy (ANE) with influenza A (H1N1) have been reported to date. The prognosis of ANE associated with H1N1 is variable; some cases resulted in severe neurologic complication, whereas other cases were fatal. Reports mostly focused on the diagnosis of ANE with H1N1 infection, rather than functional recovery. We report a case of ANE with H1N1 infection in a 4-year-old Korean girl who rapidly developed fever, seizure, and altered mentality, as well as had neurologic sequelae of ataxia, intentional tremor, strabismus, and dysarthria. Brain magnetic resonance imaging showed lesions in the bilateral thalami, pons, and left basal ganglia. To our knowledge, this is the first report of ANE caused by H1N1 infection and its long-term functional recovery in Korea.

Citations

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