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Bilateral lumbosacral plexopathy after mesenteric thrombosis.

M D García-Manzanares1, I Forner-Cordero, M C Lavara-Perona

  • 1Department of Rehabilitation and Physical Medicine, University Hospital La Fe, Valencia, Spain.

Spinal Cord
|August 7, 1999
PubMed
Summary

This case report details a rare instance of bilateral lumbosacral plexopathy (LSP) developing after surgery for mesenteric thrombosis. Electromyography confirmed significant nerve damage in the lower extremities, highlighting a potential complication.

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Area of Science:

  • Neurology
  • Surgical Complications
  • Electromyography

Background:

  • Mesenteric thrombosis is a serious vascular condition requiring surgical intervention.
  • Postoperative complications can affect various organ systems, including the nervous system.

Observation:

  • A 64-year-old male developed bilateral lower extremity weakness and sensory deficits post-mesenteric thrombosis surgery.
  • Clinical examination revealed hypotonia and hyporreflexia in the distal legs.
  • Bowel and bladder function remained unaffected.

Findings:

  • Electromyography (EMG) showed widespread denervation in lower extremity muscles.
  • Sensory nerve conduction studies indicated absent responses in all peripheral nerves of both legs.
  • These findings met electrodiagnostic criteria for lumbosacral plexopathy (LSP).

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Implications:

  • This is the first reported case of bilateral LSP following mesenteric thrombosis surgery.
  • EMG and nerve conduction studies are crucial for diagnosing LSP.
  • Understanding this rare complication can improve patient monitoring and diagnostic approaches.