Radiological aspects of idiopathic lumbosacral plexitis
DOI:
https://doi.org/10.37085/jmmv3.n1.2021.pp.23-25Keywords:
IDIOPATHIC LUMBOSACRAL PLEXITIS, autoimmune demyelination, Image analysis, non-diabetic lumbosacral radiculoplexus neuropathyAbstract
Idiopathic Lumbosacral Plexitis is a disease that do not have definitive causes but even starts to be studied by Sander Evans et al. in 1981 hypotheses were put forward related to viral infections, vaccines and heterologous serum. Although more recently studies have showed that the disease can develop without immunological history. Multiple roots and nerves are affected and it can be bilateral. The diferential diagnosis of other pathologies must involves research for tumours, traumas and diabetes. The findings of the disease include: autoimmune demyelination and vasculitis with axonal lesion. The clinicalconditionare characterized by intensive pain, paresis, hypoesthesia in lower members, and a limping gait. The prognosis is positive, however do not have a completely remission without squeals. The treatment has not been defined but is common to uses corticosteroids and immunoglobulin.
Downloads
References
Thaisetthawatkul P and Dyck PJ. Treatment of diabetic and nondiabetic lumbosacral radiculoplexus neuropathy. Curr Treat Options Neurol 2010;12(2):95-99 Doi: https://www.doi.org/ 10.1007/s11940-010-0059-8
Sander HW and Chokroverty S. Diabetic amyotrophy: current concepts. Semin Neurol 1996;16(2):173-178 Doi: https://www.doi.org/10.1055/s-2008-1040973
Kawamura N, Dyck PJ, Schmeichel AM, Engelstad JK, Low PA and Dyck PJ. Inflammatory mediators in diabetic and non-diabetic lumbosacral radiculoplexus neuropathy. Acta Neuropathol 2008;115(2):231-239 Doi: https://www.doi.org/10.1007/s00401-007-0326-2
Van Eijk J, Chan YC and Russell JW. Immunotherapy for idiopathic lumbosacral plexopathy. Cochrane Database Syst Rev 2013;12 Doi: https://www.doi.org/10.1002/14651858.CD009722.pub2
Robbins NM, Shah V, Benedetti N, Talbott JF, Chin CT and Douglas VC. Magnetic resonance neurography in the diagnosis of neuropathies of the lumbosacral plexus: a pictorial review. Clin Imaging 2016;40(6):1118-1130 Doi: https://www.doi.org/10.1016/j.clinimag.2016.07.003
McCormack EP, Alam M, Erickson NJ, Cherrick AA, Powell E and Sherman JH. Use of MRI in diabetic lumbosacral radiculoplexus neuropathy: case report and review of the literature. Acta Neurochir (Wien) 2018;160(11):2225-2227
Doi: https://www.doi.org/10.1007/s00701-018-3664-z
Filosto M, Pari E, Cotelli M, Todeschini A, Vielmi V, Rinaldi F, . . . Gasparotti R. MR neurography in diagnosing
nondiabetic lumbosacral radiculoplexus neuropathy. J Neuroimaging 2013;23(4):543-544 Doi: https://www.
doi.org/10.1111/jon.12039
Published
How to Cite
License
Os direitos autorais para artigos publicados no Jornal Memorial da Medicina são do autor, com direitos de primeira publicação para a revista. Em virtude de aparecerem nesta revista de acesso público, os artigos são de uso gratuito, com atribuições próprias, em aplicações educacionais e não comerciais. O Jornal Memorial da Medcina permitirá o uso dos trabalhos publicados para fins não comerciais, incluindo direito de enviar o trabalho para bases de dados de acesso público. Os artigos publicados são de total e exclusiva responsabilidade dos autores. Há encargos para submissão no processamento de artigos (Articles Processing Charge - APC).
