Plexopathy

Source: Wikipedia, the free encyclopedia.

Plexopathy is a disorder of the

nerves in the brachial or lumbosacral plexus. Symptoms include pain, muscle weakness, and sensory deficits (numbness).[1]

Types

There are two main types of plexopathy, based on the location of the symptoms:

brachial plexopathy
(affecting the arm) and lumbosacral plexopathy (affecting the leg).

Cause

Brachial plexopathy is often caused from local

idiopathic with an unknown cause, in which case it is known as Parsonage-Turner Syndrome.[3] Both brachial and lumbosacral plexopathy can also occur as a consequence of radiation therapy,[4] sometimes after 30 or more years have passed, in conditions known as Radiation-induced Brachial Plexopathy (RIBP)[5] and Radiation-induced Lumbosacral Plexopathy (RILP).[6]

Diagnosis

The first steps in the evaluation and management of plexopathy involve a medical provider obtaining a medical history and conducting a physical examination. Diagnosis of plexopathy relies on proper identification of a pattern in motor and sensory function deficits in the upper or lower extremities.[1]

To rule out confounding conditions such as

MRI. Some blood tests may help identify the cause of the plexopathy, including screening for diabetes, and obtaining a complete blood count (CBC) and a comprehensive metabolic panel (CMP).[1]

Treatment

Management of brachial or lumbosacral plexopathy depends on the underlying cause. No matter the cause of plexopathy, physical therapy and/or occupational therapy may promote recovery of strength and improve limb function. In the case of a mass lesion causing compression of the brachial or lumbosacral plexus, surgical decompression may be warranted. In an idiopathic brachial plexopathy, no specific treatment is usually indicated, although there is limited evidence that steroids may hasten recovery.[7] [8] If a brachial or lumbosacral plexopathy is determined to be caused by diabetes, management includes controlling the patient's blood sugar.[9] For radiation-induced plexopathies, treatment options are often limited to pain/symptom management and provision of assistive devices.

See also

References

  1. ^ .
  2. ^ "National Institute of Neurological Disorders and Stroke, page on Erb's and Klumpke's Palsies". Retrieved 2021-02-01.
  3. ^ "National Organization for Rare Disorders, page on Parsonage Turner Syndrome". rarediseases.org. Retrieved 2021-02-01.
  4. ^ "Radiation plexopathy - Introduction". www.medmerits.com. Retrieved 2016-03-03.
  5. ^ "Radiation-Induced Brachial Plexopathy: Background, Pathophysiology, Epidemiology". 14 June 2021. {{cite journal}}: Cite journal requires |journal= (help)
  6. ^ "Radiation-Induced Lumbosacral Plexopathy: Background, Pathophysiology, Epidemiology". 14 June 2021. {{cite journal}}: Cite journal requires |journal= (help)
  7. ^ "Brachial Plexopathy". Health Guide. The New York Times. 2009-12-09. Retrieved 10 December 2009.
  8. PMID 21886536
    .
  9. ^ "Lumbosacral Plexopathies: Diagnosis and rehabilitation". BNET. CBS Interactive Inc. 1999. Retrieved 10 December 2009.

Public Domain This article incorporates

U.S. National Cancer Institute
.