Paraparesis due to ischemic lumbosacral Radiculoplexopathy
Authors: Filipa Vilabril, Jorge Rocha-Melo, Margarida Ramos Rodrigues, Carlos Sampaio Macedo, Carla Miranda, Lucia Dias
Background: Lumbosacral radiculoplexopathy (LSRP) is a rare entity, with several etiologies described in the literature. Vascular lesions to the lower part of the aorta and the common iliac artery can cause LSRP of ischemic etiology. Clinical Presentation: A 66-year-old man with a previous history of peripheral obstructive arterial disease (POAD) requiring aortobifemoral and femoropopliteal procedures had a prolonged hospital stay due to various complications: stent infection and occlusion, aortoenteric fistula causing hemorrhagic shock, transmetatarsal amputation of the right foot. In this context, he underwent multiple endovascular procedures. At discharge, the patient presented flaccid paraparesis, distal bilateral hypoesthesia, saddle anesthesia and urinary and anal incontinence. Spinal cord infarction was excluded. An electromyographic study confirmed the diagnosis of bilateral LSRP of ischemic etiology. Conclusion: This case highlights the importance of including ischemic etiology as a differential diagnosis of peripheral nerve injuries, namely in patients with POAD.
Keywords: Paraparesis, lumbosacral radiculoplexopathy, endovascular procedure, peripheral obstructive arterial disease, ischemic radiculoplexopathy, case report
Authors
Correspondence to:
Filipa Vilabril, Physical and Rehabilitation Medicine Department, Trás-os-Montes e Alto Douro Hospital Center, Vila Real, Portugal filipavilabril@gmail.com
Publication history:
Received 09 Jul 2020
Revised 02 Dec 2020
Accepted 02 Jan 2021
Published online 12 Feb 2021
Published in print 27 Feb 2021
Vilabril F, Rocha-Melo J, Rodrigues MR, Macedo CS, Miranda C, Dias L. Paraparesis due to ischemic lumbosacral Radiculoplexopathy. EJMCR. 2021; 5(2): 46-50. doi:
10.24911/ejmcr/173-1592049286
Vilabril F, Rocha-Melo J, Rodrigues MR, Macedo CS, Miranda C, Dias L. Paraparesis due to ischemic lumbosacral Radiculoplexopathy. https://www.ejmcr.com/?mno=114831 [Access: March 28, 2024]. doi:
10.24911/ejmcr/173-1592049286
Vilabril F, Rocha-Melo J, Rodrigues MR, Macedo CS, Miranda C, Dias L. Paraparesis due to ischemic lumbosacral Radiculoplexopathy. EJMCR. 2021; 5(2): 46-50. doi:
10.24911/ejmcr/173-1592049286
Vilabril F, Rocha-Melo J, Rodrigues MR, Macedo CS, Miranda C, Dias L. Paraparesis due to ischemic lumbosacral Radiculoplexopathy. EJMCR. (2021), [cited March 28, 2024]; 5(2): 46-50. doi:
10.24911/ejmcr/173-1592049286
Vilabril, F., Rocha-Melo, . J., Rodrigues, . M. R., Macedo, . C. S., Miranda, . C. & Dias, . L. (2021) Paraparesis due to ischemic lumbosacral Radiculoplexopathy. EJMCR, 5 (2), 46-50. doi:
10.24911/ejmcr/173-1592049286
Vilabril, Filipa, Jorge Rocha-Melo, Margarida Ramos Rodrigues, Carlos Sampaio Macedo, Carla Miranda, and Lucia Dias. 2021. Paraparesis due to ischemic lumbosacral Radiculoplexopathy. European Journal of Medical Case Reports, 5 (2), 46-50. doi:
10.24911/ejmcr/173-1592049286
Vilabril, Filipa, Jorge Rocha-Melo, Margarida Ramos Rodrigues, Carlos Sampaio Macedo, Carla Miranda, and Lucia Dias. "Paraparesis due to ischemic lumbosacral Radiculoplexopathy." European Journal of Medical Case Reports 5 (2021), 46-50. doi:
10.24911/ejmcr/173-1592049286
Vilabril, Filipa, Jorge Rocha-Melo, Margarida Ramos Rodrigues, Carlos Sampaio Macedo, Carla Miranda, and Lucia Dias. "Paraparesis due to ischemic lumbosacral Radiculoplexopathy." European Journal of Medical Case Reports 5.2 (2021), 46-50. Print. doi:
10.24911/ejmcr/173-1592049286
Vilabril, F., Rocha-Melo, . J., Rodrigues, . M. R., Macedo, . C. S., Miranda, . C. & Dias, . L. (2021) Paraparesis due to ischemic lumbosacral Radiculoplexopathy. European Journal of Medical Case Reports, 5 (2), 46-50. doi:
10.24911/ejmcr/173-1592049286