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Relapsing lumbosacral plexus neuropathy. Report of two cases
G I Awerbuch1, M A Nigro, R Sandyk
1Department of Neurology, Children's Hospital of Michigan, Detroit.
European Neurology
|January 1, 1991
Summary
Primary lumbosacral plexus neuropathy typically resolves, but this study reports two relapsing cases. These patients may represent a distinct subgroup of this rare neurological condition.
Area of Science:
- Neurology
- Neuroscience
Background:
- Primary lumbosacral plexus neuropathy (LSPN) is a recognized neurological syndrome.
- It typically presents with pain, weakness, and muscle atrophy in the lumbosacral plexus distribution.
- Previous literature emphasizes a generally benign course with significant recovery over time.
Observation:
- This report details two patients with a relapsing form of LSPN.
- Diagnosis was confirmed through clinical and electromyographic findings.
- No underlying etiology was identified during extensive follow-up (6-8 years).
Findings:
- The observed relapsing pattern contrasts with the typically self-limiting nature of LSPN.
- These cases suggest LSPN may not always follow a benign, monophasic course.
- The clinical presentation and potential pathology may differ in these relapsing cases.
Implications:
- These findings suggest a potentially distinct clinical and pathological subgroup of LSPN.
- Further research is warranted to understand the characteristics and management of relapsing LSPN.
- Recognizing this variant is crucial for accurate diagnosis and patient counseling.