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Plexopathy is a disorder of the network of nerves in the brachial or lumbosacral plexus. Symptoms include pain, muscle weakness, and sensory deficits (numbness). Symptoms include pain, muscle weakness, and sensory deficits (numbness).
Radiation-induced lumbar plexopathy (RILP) or radiation-induced lumbosacral plexopathy (RILSP) is nerve damage in the pelvis and lower spine area caused by therapeutic radiation treatments. RILP is a rare side effect of external beam radiation therapy [ 1 ] [ 2 ] [ 3 ] and both interstitial and intracavity brachytherapy radiation implants.
More definitive diagnosis can be made with electrodiagnostic studies including nerve conduction studies (NCS) and electromyography (EMG). [5] Diabetic amyotrophy is often a diagnosis of exclusion in diabetic patients with evidence of lumbosacral plexopathy on NCS and EMG studies for whom no other cause of lumbosacral plexopathy can be determined.
Symptoms of LSS, including NC, are the most common reason patients 65 and older undergo spinal surgery. Surgery is generally reserved for patients whose symptoms do not improve with nonsurgical treatments, and the main objective of surgery is to relieve pressure on the spinal nerve roots and recover normal mobility and quality of life. [ 10 ]
Physically demanding jobs, contact sports and being overweight can increase risk of developing lumbar spondylosis. Lumbar spondylosis diagnosis can be made by physical exam, symptom tracking, MRI ...
In adults, surgery to detether (free) the spinal cord can reduce the size and further development of cysts in the cord and may restore some function or alleviate other symptoms. Although detethering is the common surgical approach to TCS, [ 25 ] another surgical option for adults is a spine-shortening vertebral osteotomy .
Signs and Symptoms. Radiculopathy is a diagnosis commonly made by physicians in primary care specialties, orthopedics, physiatry, and neurology. The diagnosis may be suggested by symptoms of pain, numbness, paresthesia, and weakness in a pattern consistent with the distribution of a particular nerve root, such as sciatica.
Clinical examination and patient history [2] Differential diagnosis: Lumbar L2/L3 pathology, lumbar plexopathy, another entrapped peripheral nerve, and pelvic tumors [3] [4] Treatment: Steroid injections, nerve decompression, and neurectomy [3]