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Journal of Rheumatology and Medical Rehabilitation, vol.11, no.4, pp.286-290, 2000 (Scopus)
Femoral mononeuropathy (FMN) is seen less frequently when compared with other peripheral neuropathies. Compression, stretch, and ischemic injuries of the femoral nerve are the most common causes of FMN. This document reports 11 cases of FMN diagnosed during a 3-year period. FMN cases were 0.5% of all patients who were evaluated in our electrophysiology unit during this period. The most frequent etiologic factor was compression of the femoral nerve by retroperitoneal masses (45% hematoma, 10% neoplasm). All the patients but one suffered from severe form of FMN, and improved partially during intensive physical therapy and rehabilitation program. We believe that, as subclinical and rapidly improved cases are not diagnosed or reported, the real incidence is underestimated. Although most of the cases are self-limited, delay in initiating treatment may lead to significant morbidity and irreversible neurologic damage in severe forms.