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Lumbosacral Plexus Disorder

Lumbosacral Plexus Disorders


Presentation

  • Presents a consistent chapter organization that delivers all the content you need in a logical, practical manner. Presents a new co-editor, Thomas D.[books.google.com]
  • Asymmetric lumbosacral radiculoplexopathy: Rare presentation of sarcoidosis. Neurol India 2015;63:615-6 How to cite this URL: Ghuman MS, Kapur S, Vyas S, Bhatkar S, Goyal MK, Khandelwal N.[neurologyindia.com]
  • The condition can be the first presentation of diabetes.[patient.info]
  • In contrast to these monophasic presentations, other patients may present with a progressive course.[painspa.co.uk]
  • The clinical presentation and initial management of lumbosacral radiculopathies of various etiologies are discussed.[neurospine.wordpress.com]
Dyspepsia
  • Oxycarbazepine 600-2400 mg Fatigue, nausea, dizziness, leukopenia Lamotrigine 50-500 mg Serious rash, dizziness, nausea, sedation Topiramate 25-400 mg Sedation, weight loss, nephrolithiasis, myopia, angle closure glaucoma Miscellaneous Mexiletine 150-750 mg Dyspepsia[clevelandclinicmeded.com]
Low Back Pain
  • Polyradiculopathy in AIDS tends to involve the lumbosacral nerve roots, producing a rapidly progressive cauda equina syndrome with severe low back pain. Cytomegalovirus accounts for most HIV-related radiculopathy.[neurospine.wordpress.com]
  • An important study in the fascial world by Langevin et al., 2009 proposed that people with chronic and recurrent low back pain had 25 percent greater fascial thickness than a low back pain-free group.[treningogrehab.no]
Thigh Pain
  • Most frequent clinical presentation of adiabetic lumbosacral plexopathy is anterior thigh pain, with secondaryproximal leg muscle weakness. The muscle weakness is most pronouncedin the quadriceps muscles.[slideshare.net]
  • Slide 27: Case 2: Examination, Continued Additional examination findings include normal balance, gait, but diminished sensation to light touch and pinprick, and cold on the right lateral thigh.[accessphysiotherapy.mhmedical.com]
  • The test is positive if the patient experiences anterior thigh pain.[physio-pedia.com]
Pelvic Pain
  • Pregnant women with pregnancy-related low back and pelvic pain (PLBP) developed significantly higher muscle activity in the rectus femoris, psoas major and external oblique during the ASLR test than pregnant women with no PLBP (de Groot et al. 2008 ).[treningogrehab.no]
Foot Drop
  • Evaluation of Foot Drop Definitions: When there is paralysis of the dorsal extensor muscles of the foot and the toes (tibialis anterior, extensor digitorum longus, and extensor hallucis longus), which are innervated by the deep peroneal nerve, foot drop[medschool.lsuhsc.edu]
  • Lesion in which nerve causes the "foot drop". 12. Describe meralgia paresthetic/ Bernhardt-Roth’s syndrome. 13. What are the main clinical symptoms detected in lesions of genital and coccygeal nerves.[pain-clinic.ru]
  • The patient's condition failed to improve with conservative management, and she subsequently developed an additional left foot drop.[ajnr.org]
  • Lumbosacral trunk and upper sacral plexus lesions: foot drop (flail foot), and weakness of knee flexion or hip abduction.[epomedicine.com]
  • Foot drop as a harbinger of aortic occlusion. Muscle Nerve. 1995;18:899–903. PubMed CrossRef Google Scholar 25. Chad DA, Bradley WG. Lumbosacral plexopathy. Semin Neurol. 1987;7:97–107. PubMed CrossRef Google Scholar 26.[link.springer.com]
Sciatica
  • This pain pattern is referred to as sciatica . Rarely, other conditions may cause pain radiating in the sciatic distribution, but the most common cause is radiculopathy . Anyone can get sciatica .[neurologylakemary.com]
  • Also the value of bed rest was examined in patients with sciatica; results suggest that advice for bed rest is not as effective as advice to stay active for people with low-back pain. [7] .[physio-pedia.com]
  • […] superioris, non specificata G57 Mononeuropathies of lower limb Latin: Mononeuropathia extremitatis inferioris Excludes: current traumatic nerve disorder - see nerve injury by body region G57.0 Lesion of sciatic nerve Latin: Laesio nervi ischiadici Excludes: sciatica[mkb-dijagnoza.blogspot.com]
  • Compressive Neuropathy A 20-year-old male bodybuilder, said to have prominent development of his buttock musculature, presented with intractable left sciatica and loss of lower extremity muscle mass. Palpation over the left buttock exacerbated pain.[ajnr.org]
  • Patients may report of sciatica without back pain. Aggravation of pain with movement, particularly forward or lateral bending, or with Valsalva’s maneuver is typical; usually, pain is relieved with recumbency.[neurospine.wordpress.com]
Limb Weakness
  • Neoplastic Lumbosacral Plexopathy Like the analogous syndrome affecting the brachial plexus, direct infiltration of the lumbosacral plexus by tumor produces a syndrome of subacute pain and limb weakness.[neupsykey.com]
  • Limb-girdle muscular dystrophy This is a heterogeneous group of conditions that usually appear in adolescence or adult life with proximal limb weakness. The weakness usually progresses slowly, but it may arrest spontaneously.[dartmouth.edu]
Flaccid Paralysis
  • paralysis associated with sensory deficits to all types of stimulation in the territory of the damaged nerve roots: a lower motor neuron paralysis.[medlink.com]

Workup

  • Please see Table 2 for the diagnostic workup for lumbosacral plexopathy.[now.aapmr.org]

Treatment

  • Offers practical, clinically relevant material for the diagnosis and treatment of musculoskeletal conditions.[books.google.com]
  • Non-somatic Treatment Psychological Treatment Depression Treatment Cognitive-Behavioural Treatment Rehabilitation Treatment Somatic Treatment Pharmacological treatment: Non-steroid Anti-inflammatories (short period) Tricyclic antidepressants Anticonvulsives[pijn.com]
  • UR - UR - U2 - 10.1007/s11940-010-0059-8 DO - 10.1007/s11940-010-0059-8 M3 - Article VL - 12 SP - 95 EP - 99 JO - Current Treatment Options in Neurology T2 - Current Treatment Options in Neurology JF - Current Treatment Options in Neurology SN - 1092-[mayoclinic.pure.elsevier.com]
  • Treatment Options for Brachial Plexus Disorder The treatment options available to you depend on the severity of the damage to the nerves.[houstonmethodist.org]
  • Radiation therapy is the mainstay of treatment of neoplastic infiltration; the treatment for radiation-related plexopathy is mainly supportive.[neupsykey.com]

Prognosis

  • […] syndromes Upper plexus Lower plexus Retroclavicular Anatomy: Divisions Usually associated with upper or lower plexus lesions Isolated lesions: Uncommon Infraclavicular Anatomy: Cords & Terminal nerves No regional differences in incidence, severity, prognosis[neuromuscular.wustl.edu]
  • They have included background information about the historical notes, clinical manifestations, etiology, epidemiology, pathogenesis and pathophysiology, prevention, differential diagnosis, diagnostic work-up, prognosis and complications, and management[medlink.com]
  • Prognosis is correlated closely with the degree of neurologic dysfunction at diagnosis, so early recognition is crucial.[neurospine.wordpress.com]
  • In general, diabetic lumbosacral radiculoplexus neuropathy, lumbosacral radiculoplexus neuropathy, and postsurgical inflammatory neuropathy have a better prognosis 1 .[now.aapmr.org]
  • Prognosis The condition is usually of a self-limiting disorder, lasting up to three years but often causing significant disability in this time.[patient.info]

Etiology

  • Laboratory studies Laboratory studies are ordered based on suspected etiology.[now.aapmr.org]
  • With a systematic approach to the evaluation of these disorders, approximately 75% of patients have a specific etiologic diagnosis.[clevelandclinicmeded.com]
  • They have included background information about the historical notes, clinical manifestations, etiology, epidemiology, pathogenesis and pathophysiology, prevention, differential diagnosis, diagnostic work-up, prognosis and complications, and management[medlink.com]
  • Available from: Sir , Sarcoidosis is a multisystemic inflammatory disorder of unknown etiology.[neurologyindia.com]
  • Etiology Lumbosacral plexopathy has been recognized as a clinical entity or complication in a variety of surgical procedures, trauma, and obstetric surgery or delivery and as a clinical finding or sequela in treatment of pelvic tumors.[clinicalgate.com]

Epidemiology

  • […] indicus Flexor pollicus longus Differential diagnosis: Other involvement of supraclavicular lower plexus Thoracic outlet syndrome, Neurogenic Pancoast syndrome Neuralgic Amyotrophy 10 Nosology: Also called Parsonage-Turner syndrome Brachial Neuritis Epidemiology[neuromuscular.wustl.edu]
  • They have included background information about the historical notes, clinical manifestations, etiology, epidemiology, pathogenesis and pathophysiology, prevention, differential diagnosis, diagnostic work-up, prognosis and complications, and management[medlink.com]
  • It is closely related to GBS and is considered the chronic counterpart Epidemiology Prevalence amongst populations with diabetes mellitus is generally quoted as 0.8%.[patient.info]
  • These two nerves are the n.tibialis and the n.peroneus communis. [8] Epidemiology /Etiology Lower back pain is severely common in general population, but lumbar radiculopathy has only been reported with an incidence of 3 to 5%. [3] 5-10% of patients with[physio-pedia.com]
  • Forceps application although not frequently encountered Radiation Hematoma Vascular lesions Inflammatory/micro vasculitis Diabetic lumbosacral radiculoplexus neuropathy Lumbosacral radiculoplexus neuropathy Postsurgical inflammatory neuropathy Sarcoidosis Epidemiology[now.aapmr.org]
Sex distribution
Age distribution

Pathophysiology

  • […] though studies on the natural history of this disorder have shown that the majority of patients recover within a few years after the attack without any treatment (although recovery is incomplete in many cases), it is a common practice, based on the pathophysiology[mayoclinic.pure.elsevier.com]
  • […] and pathophysiologic features.[painspa.co.uk]
  • They have included background information about the historical notes, clinical manifestations, etiology, epidemiology, pathogenesis and pathophysiology, prevention, differential diagnosis, diagnostic work-up, prognosis and complications, and management[medlink.com]
  • Diabetic and nondiabetic lumbosacral radiculoplexus neuropathies: new insights into pathophysiology and treatment. Muscle Nerve. 2002;4:477–91. CrossRef Google Scholar 30. O’Hare J, Abuaisha F, Geoghegan M.[link.springer.com]
  • Back to Top Pathophysiology and Natural History Despite the diverse array of medical disorders that cause peripheral neuropathies, peripheral nerves exhibit only a few distinct pathologic reactions to an insult or disease: wallerian degeneration, axonal[clevelandclinicmeded.com]

Prevention

  • Discusses physical agents and therapeutic exercise in the prevention, diagnosis, treatment and rehabilitation of disorders that produce pain, impairment, and disability.[books.google.com]
  • In this update, the authors added discussion of the preventive measures that can be considered during spine surgery to lower the risk of lumbar plexus injury.[medlink.com]
  • Your doctor may recommend physical therapy to keep your joints and muscles working properly, maintain range of motion, and prevent stiff joints.[mayoclinic.org]
  • Treatment is aimed at providing pain relief and preventing neurologic deficits in addition to appropriate directed therapy based on the underlying cause.[neurospine.wordpress.com]
  • […] which can occur during high force trauma, birth delivery especially prolonged labor, abdominal surgery, or pelvic girdle or lower extremity fractures Increased bleeding risk, as seen in anticoagulation use, hemophilia, Iliac Artery aneurysms Primary prevention[now.aapmr.org]

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