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SURGICAL MANAGEMENT OF OBTURATOR NERVE LESIONS

Kitagawa, Ryan M.D.; Kim, Daniel M.D.; Reid, Natasha M.D.; Kline, David M.D.

doi: 10.1227/01.NEU.0000335652.61676.CC
Chapter 5

OBJECTIVE: Obturator neuropathy is a rare condition that may result from orthopedic, gynecological, or urological procedures or injuries. These pathologies are amenable to surgical intervention, and an accurate physical examination and electromyography are necessary before treatment.

METHODS: Six patients with obturator nerve lesions underwent surgical exploration and decompression or primary repair. Their charts were retrospectively reviewed, and the electromyographic, surgical, and follow-up data were recorded.

RESULTS: Postoperatively, all patients reported improved symptoms in the form of pain relief, numbness resolution, or improved adductor muscle strength.

CONCLUSION: Obturator nerve injury is a treatable condition with minimal surgical complications and morbidities.

Department of Neurosurgery, Baylor College of Medicine, Houston, Texas (Kitagawa) (Kim)

Department of Obstetrics and Gynecology, Virginia Commonwealth University, Richmond, Virginia (Reid)

Department of Neurosurgery, Louisiana State University School of Medicine, New Orleans, Louisiana (Kline)

Reprint requests: Daniel Kim, M.D., Department of Neurosurgery, Baylor College of Medicine, BCM Faculty Center, 650, 1709 Dryden Road, Suite 750, Houston, TX 77030. Email: neurokimdaniel@yahoo.com

Received, December 6, 2007.

Accepted, August 8, 2008.

Copyright © by the Congress of Neurological Surgeons