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Abstract
ABSTRACT
Plexopathies are seldom. Among them, lumbosacral plexopathies are less frequent than brachial plexopathies. We report a case of lumbosacral plexopathy secondary to a psoas abscess. A 36-year-old patient was admitted to the surgery department for feverish left flank pain. A CT scan confirmed the diagnosis of the left psoas abscess. Neurological examination showed a monoparesis of the proximodistal left lower limb. The ENMG confirmed the diagnosis of left lumbosacral motor axonal plexopathy. As the lumbosacral plexus roots path inside the psoas muscle body, lumbosacral plexus impairment shall be considered in any psoas abscess.
RÉSUMÉ
Les plexopathies sont rares. Parmi elles, les plexopathies lombosacrées sont les moins fréquentes. Nous rapportons un cas de plexopathie lombo-sacrée secondaire à un abcès du psoas. Il s’agit d’un patient de 36 ans admis en chirurgie pour des douleurs fébriles du flanc gauche. Le diagnostic d'abcès du psoas gauche a été confirmé par le scanner. L'examen et l'ENMG ont confirmé le diagnostic de plexopathie lombo-sacrée. Les racines du plexus lombo-sacré cheminent dans le corps du muscle psoas. Une atteinte du plexus lombo-sacré doit donc être recherchée dans tout abcès du psoas.
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References
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- Vallat JM, Magy L. Neuropathies périphériques : généralités. EMC - Neurologie. mai 2005;2(2):175‑81.
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- Tubbs RS, Loukas M, Hanna AS, Oskouian R, éditeurs. An Overview of the Lumbar Plexus. In: Surgical anatomy of the lumbar plexus. New York: Thieme; 2018. p. 1‑9.
- Dydyk AM, Hameed S. Lumbosacral Plexopathy. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 [cité 17 août 2022]. Disponible sur: http://www.ncbi.nlm.nih.gov/books/NBK556030/
- Sato T, Kudo D, Kushimoto S. Epidemiological features and outcomes of patients with psoas abscess: A retrospective cohort study. Annals of Medicine and Surgery. févr 2021;62:114‑8.
- Brown R, O’Callaghan J, Peter N. Parsonage Turner syndrome caused by Staphylococcus aureus spondylodiscitis. BMJ Case Rep. févr 2020;13(2):e233073.
- Garozzo D, Zollino G, Ferraresi S. In lumbosacral plexus injuries can we identify indicators that predict spontaneous recovery or the need for surgical treatment? Results from a clinical study on 72 patients. J Brachial Plexus Peripher Nerve Inj. 2014;9(1):1.
References
Brisset M, Nicolas G. Peripheral neuropathies and aging. Gériatrie et Psychologie Neuropsychiatrie du Viellissement. déc 2018;16(4):409‑13.
Vallat JM, Magy L. Neuropathies périphériques : généralités. EMC - Neurologie. mai 2005;2(2):175‑81.
Mumenthaler M. Some Clinical Aspects of Peripheral Nerve Lesions. Europ Neurol. 1969;2(5):257‑68.
Rubin DI. Brachial and lumbosacral plexopathies: A review. Clinical Neurophysiology Practice. 2020;5:173‑93.
Katirji B. The Scope of the EMG Examination. In: Electromyography in clinical practice. 2007. p. 3‑11.
Tubbs RS, Loukas M, Hanna AS, Oskouian R, éditeurs. An Overview of the Lumbar Plexus. In: Surgical anatomy of the lumbar plexus. New York: Thieme; 2018. p. 1‑9.
Dydyk AM, Hameed S. Lumbosacral Plexopathy. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 [cité 17 août 2022]. Disponible sur: http://www.ncbi.nlm.nih.gov/books/NBK556030/
Sato T, Kudo D, Kushimoto S. Epidemiological features and outcomes of patients with psoas abscess: A retrospective cohort study. Annals of Medicine and Surgery. févr 2021;62:114‑8.
Brown R, O’Callaghan J, Peter N. Parsonage Turner syndrome caused by Staphylococcus aureus spondylodiscitis. BMJ Case Rep. févr 2020;13(2):e233073.
Garozzo D, Zollino G, Ferraresi S. In lumbosacral plexus injuries can we identify indicators that predict spontaneous recovery or the need for surgical treatment? Results from a clinical study on 72 patients. J Brachial Plexus Peripher Nerve Inj. 2014;9(1):1.