neurologic disorders
Brachial Plexus and Lumbosacral Plexus Disorders
Introduction
Disorders of the brachial or lumbosacral plexus cause a painful mixed sensorimotor disorder of the corresponding limb. Because several nerve roots intertwine within the plexus (see figure Plexuses ), the symptom pattern does not fit the distribution of individual roots or nerves. Which parts of the body are affected depends on which plexus is damaged: Rostral brachial plexus: Shoulders Caudal brachial plexus: Hands Lumbar plexus: Legs Sacral plexus: Pelvis and legs Plexus disorders (plexopathies) are usually due to physical compression or injury: In infants, traction during birth if it damages nerves in the brachial plexus In adults, usually trauma (typically, for the brachial plexus, a fall that forces the head away from the shoulder) or invasion by metastatic cancer (typically, breast or lung cancer for the brachial plexus and intestinal or genitourinary tumors for the lumbosacral plexus) In patients receiving anticoagulants, a hematoma may compress the lumbosacral plexus. Neurofibromatosis occasionally involves a plexus. Other causes include postradiation fibrosis (eg, after radiation therapy for breast cancer) and Acute brachial neuritis(neuralgic amyotrophy, Parsonage-Turner syndrome) occurs primarily in men and typically in young adults, although it can occur at any age. Cause is unknown, but viral or immunologic inflammatory processes are suspected. 