The clinical outcome of lumbosacral plexopathy according to the extent and etiology of the injury
- Author:
Won Jin Sung
1
,
2
;
Joon-Sung Kim
1
,
2
;
Bo Young Hong
1
,
2
;
Leechan Jo
1
,
2
;
Hyehoon Choi
1
,
2
;
Seong Hoon Lim
1
,
2
Author Information
- Publication Type:Journal Article
- Keywords: Lumbosacral plexopathy, outcome, prognosis, etiology, recovery.
- From:Neurology Asia 2021;26(1):63-67
- CountryMalaysia
- Language:English
- Abstract: Background & Objective: Although the clinical manifestations and outcomes of lumbosacral plexopathy have been reported, the long-term outcomes are unclear. Therefore, we investigated clinical manifestations and long-term outcomes in patients with lumbosacral plexopathy in terms of the extent and etiology of the injury. Methods: We evaluated the clinical and electrodiagnostic data and outcomes of 23 patients with lumbosacral plexopathy in a retrospective longitudinal observational study. The enrolled subjects were divided into groups according to the etiology and extent of their injuries, and the clinical outcomes of each group 1 year after onset were investigated. Outcomes were classified as full recovery, able to walk, unable to walk, and follow-up loss. Results: The right lumbosacral plexus was involved in 11 patients, left lumbosacral plexus in 8, and both in 4. Among the 27 lumbosacral plexus lesions (4 patients had bilateral lesions), the upper lumbar plexus was involved in 6 cases, lower lumbosacral plexus in 12, and the entire lumbosacral plexus in 9. Thirteen cases arose from traumatic events, and the rest were non-traumatic. When the clinical outcomes of the groups were compared, non-traumatic cases had higher rates of full recovery than did traumatic cases. Those with lesions in the upper lumbar plexus had a higher rate of full recovery than the other groups. Conclusions: Non-traumatic etiology and upper lumbar plexus injury were associated with better outcomes. These results will be useful when planning treatment strategies and will increase our understanding of the prognosis for lumbosacral plexopathy
- Full text:20250724114430565257.2020my0103.pdf
