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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
"severe cases"
symptom
coats disease
congenital diaphragmatic hernia
dentin dysplasia
dentinogenesis imperfecta
erythropoietic protoporphyria
hereditary cerebral hemorrhage with amyloidosis
hydrocephalus with stenosis of the aqueduct of sylvius
locked-in syndrome
megacystis-microcolon-intestinal hypoperistalsis syndrome
neuralgic amyotrophy
proteus syndrome
scrub typhus
trochlear dysplasia
typhoid
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