Electrodiagnostic Testing in Lumbosacral Plexopathies

Ruple S. Laughlin, P. James B Dyck

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Patients presumed to have lower limb symptoms localizing to the lumbar or lumbosacral plexus require rigorous electrophysiological evaluation. Entities that cause lumbosacral plexopathies may be patchy, asymmetrical and more diffuse than initially suspected. As a result, bilateral nerve conduction studies and needle examination outside those routinely tested and clinically affected may be needed to document the extent of involvement including needle examination of the thoracic paraspinals and consideration of upper limb studies. This article outlines the lumbar and lumbosacral plexus anatomy, and discusses a differential diagnosis and electrophysiological approach in assessing patients with presumed lumbosacral plexopathies.

Original languageEnglish (US)
Pages (from-to)93-105
Number of pages13
JournalPhysical Medicine and Rehabilitation Clinics of North America
Volume24
Issue number1
DOIs
StatePublished - Feb 2013

Fingerprint

Lumbosacral Plexus
Needles
Neural Conduction
Upper Extremity
Lower Extremity
Anatomy
Differential Diagnosis
Thorax

Keywords

  • Diabetic amyotrophy
  • Diabetic lumbosacral radiculoplexus neuropathy
  • EMG
  • Lumbar plexopathy
  • Lumbosacral
  • Lumbosacral plexopathy
  • Radiculoplexus neuropathy

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Electrodiagnostic Testing in Lumbosacral Plexopathies. / Laughlin, Ruple S.; Dyck, P. James B.

In: Physical Medicine and Rehabilitation Clinics of North America, Vol. 24, No. 1, 02.2013, p. 93-105.

Research output: Contribution to journalArticle

@article{c03cf003a0544bef848fee4d9faf08cb,
title = "Electrodiagnostic Testing in Lumbosacral Plexopathies",
abstract = "Patients presumed to have lower limb symptoms localizing to the lumbar or lumbosacral plexus require rigorous electrophysiological evaluation. Entities that cause lumbosacral plexopathies may be patchy, asymmetrical and more diffuse than initially suspected. As a result, bilateral nerve conduction studies and needle examination outside those routinely tested and clinically affected may be needed to document the extent of involvement including needle examination of the thoracic paraspinals and consideration of upper limb studies. This article outlines the lumbar and lumbosacral plexus anatomy, and discusses a differential diagnosis and electrophysiological approach in assessing patients with presumed lumbosacral plexopathies.",
keywords = "Diabetic amyotrophy, Diabetic lumbosacral radiculoplexus neuropathy, EMG, Lumbar plexopathy, Lumbosacral, Lumbosacral plexopathy, Radiculoplexus neuropathy",
author = "Laughlin, {Ruple S.} and Dyck, {P. James B}",
year = "2013",
month = "2",
doi = "10.1016/j.pmr.2012.08.014",
language = "English (US)",
volume = "24",
pages = "93--105",
journal = "Physical Medicine and Rehabilitation Clinics of North America",
issn = "1047-9651",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Electrodiagnostic Testing in Lumbosacral Plexopathies

AU - Laughlin, Ruple S.

AU - Dyck, P. James B

PY - 2013/2

Y1 - 2013/2

N2 - Patients presumed to have lower limb symptoms localizing to the lumbar or lumbosacral plexus require rigorous electrophysiological evaluation. Entities that cause lumbosacral plexopathies may be patchy, asymmetrical and more diffuse than initially suspected. As a result, bilateral nerve conduction studies and needle examination outside those routinely tested and clinically affected may be needed to document the extent of involvement including needle examination of the thoracic paraspinals and consideration of upper limb studies. This article outlines the lumbar and lumbosacral plexus anatomy, and discusses a differential diagnosis and electrophysiological approach in assessing patients with presumed lumbosacral plexopathies.

AB - Patients presumed to have lower limb symptoms localizing to the lumbar or lumbosacral plexus require rigorous electrophysiological evaluation. Entities that cause lumbosacral plexopathies may be patchy, asymmetrical and more diffuse than initially suspected. As a result, bilateral nerve conduction studies and needle examination outside those routinely tested and clinically affected may be needed to document the extent of involvement including needle examination of the thoracic paraspinals and consideration of upper limb studies. This article outlines the lumbar and lumbosacral plexus anatomy, and discusses a differential diagnosis and electrophysiological approach in assessing patients with presumed lumbosacral plexopathies.

KW - Diabetic amyotrophy

KW - Diabetic lumbosacral radiculoplexus neuropathy

KW - EMG

KW - Lumbar plexopathy

KW - Lumbosacral

KW - Lumbosacral plexopathy

KW - Radiculoplexus neuropathy

UR - http://www.scopus.com/inward/record.url?scp=84870040206&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84870040206&partnerID=8YFLogxK

U2 - 10.1016/j.pmr.2012.08.014

DO - 10.1016/j.pmr.2012.08.014

M3 - Article

VL - 24

SP - 93

EP - 105

JO - Physical Medicine and Rehabilitation Clinics of North America

JF - Physical Medicine and Rehabilitation Clinics of North America

SN - 1047-9651

IS - 1

ER -