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[Idiopathic lumbosacral plexopathy].
[neuralgic amyotrophy]
Lumbosacral
plexopathy
is
the
equivalent
in
the
lower
limbs
of
neuralgic
amyotrophy
(
also
known
as
Parsonage-
Turner
syndrome
)
in
the
upper
limbs
.
It
is
well-known
in
patients
with
diabetes
mellitus
,
when
it
is
known
as
Bruns
-
Garland
syndrome
.
We
report
the
case
of
a
47
-
year
-old
woman
who
developed
a
unilateral
neuropathy
of
the
leg
,
neither
radicular
nor
truncal
in
origin
.
The
slow
continuous
improvement
was
not
affected
by
any
of
the
treatments
administered
.
Lumbosacral
plexopathy
is
characterized
by
intense
pain
in
one
or
both
legs
,
associated
with
motor
and
sensory
deficits
.
Recovery
is
usually
slow
(
6
to
36
months
)
and
often
incomplete
.
The
electrodiagnostic
examination
shows
important
acute
motor
and
sensory
axonal
loss
,
characterized
by
denervation
and
low
-amplitude
sensory
action
potential
.
Treatment
generally
combines
analgesics
with
narcotic
agents
,
neuropathic
pain
medication
,
short
-term
corticosteroids
,
and
rehabilitation
.
In
the
most
severe
cases
,
long
-term
corticosteroids
and
other
immunosuppressive
agents
may
be
required
.
This
diagnosis
can
not
be
reached
until
all
other
radicular
,
plexal
and
truncal
origins
have
been
ruled
out
.
Diseases
Validation
Diseases presenting
"unilateral neuropathy of the leg"
symptom
neuralgic amyotrophy
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