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Posttraumatic childhood lumbosacral plexus neuropathy
R T Egel1, J P Cueva, R L Adair
1Department of Neurology, EHS Christ Hospital and Medical Center, Oak Lawn, Illinois 60453, USA.
Insights
A pediatric abdominal crush injury caused lumbosacral plexus neuropathy, a rare condition in children. The patient fully recovered with serial monitoring and electrodiagnostic studies.
Area of Science:
- Neurology
- Pediatric Traumatology
Background:
- Lumbosacral plexus neuropathy is uncommon in pediatric patients.
- Abdominal trauma is an infrequent cause of pediatric neuropathy.
Observation:
- A 13-month-old male sustained an abdominal crush injury.
- The injury resulted in paraparesis attributed to lumbosacral plexus neuropathy.
Findings:
- Serial clinical examinations and electrodiagnostic studies (electromyography/nerve conduction studies) were performed.
- The patient achieved complete clinical recovery.
Implications:
- This case highlights a previously unreported cause of pediatric lumbosacral plexus neuropathy.
- The findings emphasize the importance of electrodiagnostic evaluation in pediatric trauma patients with neurological deficits.
Abstract:
A 13-month-old male received crush injury to the abdomen resulting in paraparesis due to lumbosacral plexus neuropathy. The child was monitored with serial clinical examinations and electromyography/nerve conduction studies. He had complete clinical recovery. Lumbosacral plexus neuropathy is unusual in childhood and has not been previously reported as a result of abdominal trauma. This patient is presented with details of the clinical course, electrodiagnostic studies, discussion, and literature review.