Sacral Plexus

Sensory NCV

Superficial peroneal nerve L5 Peroneal muscles, extensor digitorum commu-Sural nerve S1 nis L5/S1

Peroneal muscles, tibialis posterior muscle L4/5 Abductor hallucis S1,2 Abductor digiti minimi pedis S1,2

Polyradicular involvement (Lyme disease, neoplastic involvement) Differential diagnosis

Inflammatory asymmetric conditions Mononeuropathy multiplex

Depending on the cause. Therapy

Depending on the cause, variable. Prognosis

Campell WW (1999) Plexopathies. In: Campell WW (ed) Essentials of electrodiagnostic References medicine. Williams & Wilkins, Baltimore, pp 207-224

Dyck PJB, Windebank AJ (2002) Diabetic and nondiabetic lumbosacral radiculoplexus neuropathies: new insights into pathophysiology and treatment. Muscle Nerve 25: 477-491

Feasby TE, Burton SR, Hahn AF (1992) Obstetrical lumbosacral plexus injury. Muscle Nerve 15: 937-940

Jaeckle KA (1991) Nerve plexus metastases. Neurol Clin 9: 857-829

Kutsy RL, Robinson LR, Routt ML (2000) Lumbosacral plexopathy in pelvic trauma. Muscle

Nerve 23: 1757-1760

Mumenthaler M (1998) Pseudoradikuläre Syndrome und andere, nicht radikuläre Schmerzsyndrome. In: Mumenthaler M, Schliack H, Stöhr M (eds) Läsionen peripherer Nerven und radikuläre Syndrome. Thieme, Stuttgart, pp 197-201

Said G, Elgrably F, Lacroix C, et al (1997) Painful proximal diabetic neuropathy: inflammatory nerve lesions and spontaneous favorable outcome. Ann Neurol 41: 762-770 Stewart JD (2000) Lumbosacral plexus. In: Stewart JD (ed) Focal peripheral neuropathies. Lippincott, Philadelphia, pp 355-374

Thomas JE, Cascino TL, Earle JD, et al (1985) Differential diagnosis between radiation and tumor plexopathy of the pelvis. Neurology 35: 1-7

Wohlgemuth WA, Stöhr M (2002) Percutaneous arterial interventional treatment of exercise induced neurogenic intermittent claudication due to ischemia of the lumbosacral plexus. J Neurol 249: 988-992


Fig. 1. Vertebral column. M1 + M2: represent the mobile parts

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