Nerve conduction assessment and magnetic resonance imaging for the diagnosis of localized hypertrophic neuropathy of the sciatic nerve and the lumbo-sacral plexus
| Autor: | Luca Cegolon, Ramezan Jafari, Mohammad Javanbakht, Nima Mohseni Kabir, Fatemeh Dehghanpoor |
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| Přispěvatelé: | Jafari, R., Cegolon, L., Kabir, N. M., Dehghanpoor, F., Javanbakht, M. |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Weakness Lumbosacral Plexus Neural Conduction Hypertrophic neuropathy Sciatic nerve Muscle hypertrophy medicine Humans MRI Nerve biopsy medicine.diagnostic_test business.industry Electrodiagnosis Magnetic resonance imaging General Medicine Anatomy Magnetic Resonance Imaging Intraneural perineurioma Sacral plexus Lumbosacral plexus Surgery Female Neurology (clinical) medicine.symptom Sciatic Neuropathy business |
| Popis: | Localized hypertrophic neuropathy (LHN) are slowly growing nerve lesions causing progressive nerve deficit and weakness. We present the case of a 32-year old woman with long history of motor and sensory deficit complains along the sciatic nerve territory. The muscles involved were featured by delay in F waves at nerve conduction assessment. Magnetic resonance imaging (MRI) showed specific patterns, low intense on T1 and abnormally hyper intense on short tau inversion recovery (STIR) and T2, with no obvious enhancement, features compatible with either LHN or intraneural perineurioma (IP) of the sciatic nerve and/or the lumbosacral plexus. Focal thickening and hypertrophy of the sciatic nerve with preserved fascicular configuration and progressive enlargement of the right lumbosacral plexus could be noted. A nerve conduction assessment followed by an MRI eventually allowed to diagnose LHN, without performing a nerve biopsy. Although similar, LHN and IP are two distinct lesions which should be diagnosed and differentiated as soon as possible, to avoid potential complications due to delayed diagnosis and/or misdiagnosis. |
| Databáze: | OpenAIRE |
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