Genitofemoral Nerve Variation: An Attempt to Explain the Embryological Basis via a Case Report.

Autor: Sahoo S; Anatomy, All India Institute of Medical Sciences, Bhubaneswar, IND., Kumar KP; Anatomy, All India Institute of Medical Sciences, Bhubaneswar, IND., Narayan RK; Anatomy, All India Institute of Medical Sciences, Bhubaneswar, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Jun 05; Vol. 16 (6), pp. e61763. Date of Electronic Publication: 2024 Jun 05 (Print Publication: 2024).
DOI: 10.7759/cureus.61763
Abstrakt: The genitofemoral nerve (GFN) presents with a variable course in nearly half of the population. This variation can be seen in its availability, course, and branching. Here, a notable case during a cadaveric dissection revealed an unusually high bifurcation of the GFN on the left side, contrasting with the typical bifurcation observed on the right. This divergence was highlighted using colored markers to aid educational visualization, facilitating a comprehensive learning experience about the nerve's variability and its functional implications, such as the cremasteric reflex. Embryologically, these variations stem from the migratory paths of myotomes during development, influenced by extrinsic signals and growth factors. Despite the high incidence of anatomical variability, the muscular structure remains consistent, suggesting that the nerve's formation is more susceptible to developmental shifts than the muscles it innervates. Clinically, understanding GFN variations is crucial due to the nerve's involvement in conditions like genitofemoral neuropathy, which can arise from surgical procedures. Accurate knowledge of these variations aids in precise diagnostic and therapeutic interventions, reducing complications, and enhancing patient outcomes in lower abdominal and groin surgeries. However, further research is needed to elucidate the exact embryological and genetic underpinnings of these variations.
Competing Interests: Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Sahoo et al.)
Databáze: MEDLINE