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August 1978

Menstrual Meralgia

Author Affiliations

Dept of Neurology National Naval Medical Center Bethesda, MD 20014

Arch Neurol. 1978;35(8):549. doi:10.1001/archneur.1978.00500320069018

To the Editor.—  Remissions and intermissions in meralgia paraesthetica may be so striking that the terms "periodic paresthesias" and "recurrent paresthesias" have been used.1 The following case is one of periodic paresthesias associated with menses, which has not previously been emphasized, although two cases were mentioned in the neurological literature in 1900.2

Report of a Case.—  A 29-year-old woman was seen because of intermittent pain in her left lateral thigh. This began seven years previously but became most severe during the menses. Trauma had not been experienced. Therapy with birth control pills reduced the menstrual cramps and flow, but the painful, burning, aching sensation in her thigh continued. Results of previous electromyograms and myelograms were normal. As her menstruation subsided, she noticed the discomfort almost completely resolved. Findings from laparoscopy, intravenous pyelography, lumbosacral spine roentgenography, barium enema, and sigmoidoscopy all were normal.Since then, the discomfort has recurred