Case Report
Volume: 5 | Issue: 2 | Published: Feb 12, 2021 | Pages: 46 - 50 | DOI: 10.24911/ejmcr/173-1592049286
Paraparesis due to ischemic lumbosacral Radiculoplexopathy
Authors: Filipa Vilabril , Jorge Rocha-Melo , Margarida Ramos Rodrigues , Carlos Sampaio Macedo , Carla Miranda , Lucia Dias
Article Info
Authors
Filipa Vilabril
Physical and Rehabilitation Medicine Department, Tras-os- Montes e Alto Douro Hospital Center, Vila Real, Portugal
Jorge Rocha-Melo
Physical and Rehabilitation Medicine Department, Tras-os- Montes e Alto Douro Hospital Center, Vila Real, Portugal
Margarida Ramos Rodrigues
North Rehabilitation Center, Vila Nova de Gaia/Espinho Hospital Center, Vila Nova de Gaia, Portugal
Carlos Sampaio Macedo
Imagiology Department, Trofa Saude Hospital, Braga, Portugal
Carla Miranda
Physical and Rehabilitation Medicine Department, Tras-os- Montes e Alto Douro Hospital Center, Vila Real, Portugal
Lucia Dias
Physical and Rehabilitation Medicine Department, Tras-os- Montes e Alto Douro Hospital Center, Vila Real, Portugal
Publication History
Received: July 09, 2020
Revised: December 02, 2020
Accepted: January 02, 2021
Published: February 12, 2021
Abstract
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, green
