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Treatment of idiopathic lumbosacral plexopathy with intravenous immunoglobulin

✍ Scribed by William J. Triggs; Michael S. Young; Thomas Eskin; Edward Valenstein

Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
24 KB
Volume
20
Category
Article
ISSN
0148-639X

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✦ Synopsis

Lumbosacral plexopathy (LSP) produces weakness, reflex changes, and sensory loss which cannot be attributed to individual nerve roots or peripheral nerves. The differential diagnosis for LSP includes tumors, trauma, arterial injections, hemorrhage, infection, hereditary susceptibility to pressure palsies, diabetes, vasculitis, and idiopathic LSP. 5 Idiopathic LSP is heralded by pain, followed by weakness, atrophy, and variable sensory loss. 5,6,13 Recovery occurs over months to years, but may be incomplete. 1 Bradley and colleagues described treatment of LSP with corticosteroids 2 and intravenous immunoglobulin (IVIg). 16 We describe treatment of 5 patients with idiopathic LSP with IVIg.

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