Intravenous immunoglobulin therapy for idiopathic postoperative lumbosacral plexopathy
- Authors
- Park, DH; Park, YK; Kim, JH
- Issue Date
- 4월-2005
- Publisher
- ELSEVIER SCI LTD
- Keywords
- lumbosacral plexus neuropathy; intravenous immuneglobulin; spinal surgery
- Citation
- JOURNAL OF CLINICAL NEUROSCIENCE, v.12, no.3, pp.313 - 315
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF CLINICAL NEUROSCIENCE
- Volume
- 12
- Number
- 3
- Start Page
- 313
- End Page
- 315
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/123246
- DOI
- 10.1016/j.jocn.2004.05.014
- ISSN
- 0967-5868
- Abstract
- We report a patient who developed an acute lumbosacral plexopathy (LSP) following spinal surgery on lumbos segments. He recovered dramatically following treatment with high-dose intravenous immunoglobulin (IVIg). A 66-year-old man who underwent an L4 to S1 decompressive laminectomy required re-admission after developing contralateral leg pain. Follow-up lumbosacral magnetic resonance imaging showed only mild postoperative changes. Ten days after re-admission, he developed relatively rapid onset ipsilateral inguinal pain and weakness of all his leg muscles with diminished sensation in a lumbosacral plexus distribution. Re-exploration revealed no specific lesion except for adhesions and resulted in no improvement. Following treatment with IVIg (0.4 g/kg daily) for five days, he showed dramatic resolution of motor weakness and pain. There has been no relapse following six months follow-up. Although IVIg treatment does not guarantee a positive response in all types of LSP, it should be considered for severe, rapidly progressive and even for postoperative cases. (c) 2004 Elsevier Ltd. All rights reserved.
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