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L1 RADICULOPATHY MIMICKING MERALGIA PARESTHETICA: A CASE REPORT

Authors
Yang, Seung NamKim, Dong Hwee
Issue Date
Apr-2010
Publisher
WILEY
Keywords
L1 radiculopathy; herniated disc; quadratus lumborum; magnetic resonance imaging; electromyography
Citation
MUSCLE & NERVE, v.41, no.4, pp.566 - 568
Indexed
SCIE
SCOPUS
Journal Title
MUSCLE & NERVE
Volume
41
Number
4
Start Page
566
End Page
568
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/116742
DOI
10.1002/mus.21601
ISSN
0148-639X
Abstract
L1 radiculopathy is very rare and difficult to diagnose with needle electromyography. A patient presented with pain and hypesthesia on the anterolateral aspect of the left thigh. Nerve conduction studies and needle electromyography were normal, except for the quadratus lumborum and iliopsoas muscles, which showed abnormal spontaneous activity and polyphasic motor unit potentials with reduced recruitment patterns. Magnetic resonance imaging of the lumbar spine showed disc extrusion of the L1-2 intervertebral space with upward migration. This case demonstrates the usefulness of examination of the quadratus lumborum in the diagnosis of L1 radiculopathy. Muscle Nerve 41: 566-568, 2010
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