Lumbosacral Plexus
Neurofibrosarcoma
Choroid Plexus
Sacrum
Brachial Plexus
Fibrin Tissue Adhesive
Brachial Plexus Neuropathies
Sciatic Nerve
Pit and Fissure Sealants
Fibrin
Spinal root and plexus hypertrophy in chronic inflammatory demyelinating polyneuropathy. (1/157)
MRI was performed on the spinal roots, brachial and lumbar plexuses of 14 patients with chronic inflammatory demyelinating polyneuropathy (CIDP). Hypertrophy of cervical roots and brachial plexus was demonstrated in eight cases, six of whom also had hypertrophy of the lumbar plexus. Of 11 patients who received gadolinium, five of six cases with hypertrophy and one of five without hypertrophy demonstrated enhancement. All patients with hypertrophy had a relapsing-remitting course and a significantly longer disease duration. Gross onion-bulb formations were seen in a biopsy of nerve from the brachial plexus in one case with clinically evident nodular hypertrophy. We conclude that spinal root and plexus hypertrophy may be seen on MRI, particularly in cases of CIDP of long duration, and gadolinium enhancement may be present in active disease. (+info)Three pathways between the sacroiliac joint and neural structures. (2/157)
BACKGROUND AND PURPOSE: Despite ongoing clinical suspicion regarding the relationship between sacroiliac joint (SIJ) dysfunction and lower extremity symptoms, there is a paucity of scientific literature addressing this topic. The purpose of this study was to describe patterns of contrast extravasation during SIJ arthrography and postarthrography CT in patients with lower back pain and to determine whether there are pathways of communication between the SIJ and nearby neural structures. METHODS: Fluoroscopically guided SIJ arthrography was performed on 76 SIJs. After the injection of contrast medium, anteroposterior, lateral, and oblique radiographs as well as 5-mm contiguous axial and direct coronal CT images were obtained. Contrast extravasation patterns were recorded for each joint. These observations included a search for contrast extravasation from the SIJ that contacted nearby lumbosacral nerve roots or structures of the plexus. RESULTS: Sixty-one percent of all joints studied revealed one of five contrast extravasation patterns. Three of these observed patterns show a pathway of communication between the SIJ and nearby neural structures. These included posterior extravasation into the dorsal sacral foramina, superior recess extravasation at the sacral alar level to the fifth lumbar epiradicular sheath, and ventral extravasation to the lumbosacral plexus. CONCLUSION: Three pathways between the SIJ and neural structures exist. (+info)The posterior sacral foramina: an anatomical study. (3/157)
The vascular and nervous structures and their relations with the spinal nerve roots were examined in the 2nd, 3rd and 4th posterior sacral foramina in relation to percutaneous needle insertion for neuromodulation. A foraminal branch provided by the lateral sacral artery to each foramen entered the inferior lateral quadrant of each foramen, adjacent to the nerve root medially. Facing the posterior sacral aperture and around the sacral nerves, there was no venous plexus. A venous plexus was sometimes present near the median line, and always around the proximal part of the spinal ganglion. The sacral nerve roots, especially the 3rd, had a long extradural course in the foramen, presenting a potential risk of nerve lesions during procedures involving needle insertion. (+info)Biomechanical response in the ankle to stimulation of lumbosacral nerve roots with spiral cuff multielectrode--preliminary study. (4/157)
Biomechanical response in the ankle to tetanic stimulation of the lumbosacral root was investigated to assess the potential for lower limb functional neurostimulation. Myotomal response in the leg was measured as the three-dimensional isometric torque in the ankle after extradural tetanic stimulation of the L3-S1 roots exposed surgically for herniated disc removal in five patients. The cuff multielectrode was employed to investigate functional topography of the roots by monopolar, bipolar, and tripolar electrode configurations. Four response patterns in the direction of three-dimensional torque vectors were observed. The L-5 and S-1 roots had the same response pattern, but S-1 roots produced stronger torques. Dorsiflexion torque was not obtained by stimulation of L-5 roots despite coactivation of the tibial anterior and peroneal muscles. Dorsiflexion torques were produced only by stimulating the L-4 roots. More selective bipolar and tripolar stimulations recruited force at higher thresholds and less gain. Additionally, some muscles were not activated by tripolar stimulation of the same root. In one L-4 root, the torque at lower electrical threshold was replaced by inverse torque at higher threshold, providing indirect evidence that different muscles may have motoneuron populations that differ in diameter or location within the root. Although dorsiflexion and plantarflexion torques are functional per se, they are accompanied by foot inversion and leg rotation torques (as well as proximal muscle contractions). Further experimental investigations on direct extradural stimulation of lumbosacral roots, either single or in combination, are recommended to explore the potential of lumbosacral nerve root stimulation for restoration of leg function. (+info)Sacral neural crest cells colonise aganglionic hindgut in vivo but fail to compensate for lack of enteric ganglia. (5/157)
The vagal neural crest is the origin of majority of neurons and glia that constitute the enteric nervous system, the intrinsic innervation of the gut. We have recently confirmed that a second region of the neuraxis, the sacral neural crest, also contributes to the enteric neuronal and glial populations of both the myenteric and the submucosal plexuses in the chick, caudal to the level of the umbilicus. Results from this previous study showed that sacral neural crest-derived precursors colonised the gut in significant numbers only 4 days after vagal-derived cells had completed their migration along the entire length of the gut. This observation suggested that in order to migrate into the hindgut and differentiate into enteric neurons and glia, sacral neural crest cells may require an interaction with vagal-derived cells or with factors or signalling molecules released by them or their progeny. This interdependence may also explain the inability of sacral neural crest cells to compensate for the lack of ganglia in the terminal hindgut of Hirschsprung's disease in humans or aganglionic megacolon in animals. To investigate the possible interrelationship between sacral and vagal-derived neural crest cells within the hindgut, we mapped the contribution of various vagal neural crest regions to the gut and then ablated appropriate sections of chick vagal neural crest to interrupt the migration of enteric nervous system precursor cells and thus create an aganglionic hindgut model in vivo. In these same ablated animals, the sacral level neural axis was removed and replaced with the equivalent tissue from quail embryos, thus enabling us to document, using cell-specific antibodies, the migration and differentiation of sacral crest-derived cells. Results showed that the vagal neural crest contributed precursors to the enteric nervous system in a regionalised manner. When quail-chick grafts of the neural tube adjacent to somites 1-2 were performed, neural crest cells were found in enteric ganglia throughout the preumbilical gut. These cells were most numerous in the esophagus, sparse in the preumbilical intestine, and absent in the postumbilical gut. When similar grafts adjacent to somites 3-5 or 3-6 were carried out, crest cells were found within enteric ganglia along the entire gut, from the proximal esophagus to the distal colon. Vagal neural crest grafts adjacent to somites 6-7 showed that crest cells from this region were distributed along a caudal-rostral gradient, being most numerous in the hindgut, less so in the intestine, and absent in the proximal foregut. In order to generate aneural hindgut in vivo, it was necessary to ablate the vagal neural crest adjacent to somites 3-6, prior to the 13-somite stage of development. When such ablations were performed, the hindgut, and in some cases also the cecal region, lacked enteric ganglionated plexuses. Sacral neural crest grafting in these vagal neural crest ablated chicks showed that sacral cells migrated along normal, previously described hindgut pathways and formed isolated ganglia containing neurons and glia at the levels of the presumptive myenteric and submucosal plexuses. Comparison between vagal neural crest-ablated and nonablated control animals demonstrated that sacral-derived cells migrated into the gut and differentiated into neurons in higher numbers in the ablated animals than in controls. However, the increase in numbers of sacral neural crest-derived neurons within the hindgut did not appear to be sufficiently high to compensate for the lack of vagal-derived enteric plexuses, as ganglia containing sacral neural crest-derived neurons and glia were small and infrequent. Our findings suggest that the neuronal fate of a relatively fixed subpopulation of sacral neural crest cells may be predetermined as these cells neither require the presence of vagal-derived enteric precursors in order to colonise the hindgut, nor are capable of dramatically altering their proliferation or d (+info)Sacral neural crest cell migration to the gut is dependent upon the migratory environment and not cell-autonomous migratory properties. (6/157)
Avian neural crest cells from the vagal (somite level 1-7) and the sacral (somite level 28 and posterior) axial levels migrate into the gut and differentiate into the neurons and glial cells of the enteric nervous system. Neural crest cells that emigrate from the cervical and thoracic levels stop short of the dorsal mesentery and do not enter the gut. In this study we tested the hypothesis that neural crest cells derived from the sacral level have cell-autonomous migratory properties that allow them to reach and invade the gut mesenchyme. We heterotopically grafted neural crest cells from the sacral axial level to the thoracic level and vice versa and observed that the neural crest cells behaved according to their new position, rather than their site of origin. Our results show that the environment at the sacral level is sufficient to allow neural crest cells from other axial levels to enter the mesentery and gut mesenchyme. Our study further suggests that at least two environmental conditions at the sacral level enhance ventral migration. First, sacral neural crest cells take a ventral rather than a medial-to-lateral path through the somites and consequently arrive near the gut mesenchyme many hours earlier than their counterparts at the thoracic level. Our experimental evidence reveals only a narrow window of opportunity to invade the mesenchyme of the mesentery and the gut, so that earlier arrival assures the sacral neural crest of gaining access to the gut. Second, the gut endoderm is more dorsally situated at the sacral level than at the thoracic level. Thus, sacral neural crest cells take a more direct path to the gut than the thoracic neural crest, and also their target is closer to the site from which they initiate migration. In addition, there appears to be a barrier to migration at the thoracic level that prevents neural crest cells at that axial level from migrating ventral to the dorsal aorta and into the mesentery, which is the portal to the gut. (+info)Postpartum lumbosacral plexopathy limited to autonomic and perineal manifestations: clinical and electrophysiological study of 19 patients. (7/157)
The objective was to describe perineal electrophysiological findings and to determine their diagnostic value in a type of lumbosacral plexopathy after vaginal delivery, which only involves the lower part of the plexus (S2-S4). Consecutive female patients referred to an outpatients' urodynamic clinic were the source. Nineteen previously healthy women, 13 multiparae and six para 1, were investigated. Mean age was 33.7 (SD 5.4) (range 28-41) years. All of them presented with urinary (stress incontinence 14, dysuria five), anorectal (faecal incontinence eight, dyskesia one), or sexual dysfunctions (hypoorgasmia or anorgasmia six) after vaginal delivery. No associated lower limb sensory or motor deficits were noted. All the patients had electrophysiological recordings (bulbocavernosus muscle EMG, measurements of the bulbocavernosus reflex latencies (BCRLs), somatosensory evoked potentials of the pudendal nerve (SEPPNs), and pudendal nerve terminal motor latencies (PNTMLs)). Cystometry and urethral pressure profile (UPP) were performed in the 14 patients with stress urinary incontinence. Perineal electrophysiological examination disclosed signs of denervation in the perineal muscles in all the cases, prolonged BCRLs in 17/19, and abolished BCRLs in 2/19, abnormal SEPPN in 1/19, and normal PNTMLs in all the patients. Urodynamic investigations disclosed low urethral closure pressure for age (< 50 cm H(2)O) in half of the patients. In conclusion, Lower postpartum lumbosacral plexopathy is evoked when perineal sensory disturbances whether or not associated with urinary or faecal incontinence persist after a history of a difficult vaginal delivery. Electrophysiological investigations precisely identify the site of the lesion and demonstrate distal innervation integrity. (+info)Lumbar plexus block reduces pain and blood loss associated with total hip arthroplasty. (8/157)
BACKGROUND: The usefulness of peripheral nerve blockade in the anesthetic management of hip surgery has not been clearly established. Because sensory afferents from the hip include several branches of the lumbar plexus, the authors hypothesized that a lumbar plexus block could reduce pain from a major hip procedure. METHODS: In a double-blind prospective trial, 60 patients undergoing total hip arthroplasty were randomized to receive general anesthesia with (plexus group, n = 30) or without (control group, n = 30) a posterior lumbar plexus block. The block was performed after induction using a nerve stimulator, and 0.4 ml/kg bupivacaine, 0.5%, with epinephrine was injected. General anesthesia was standardized, and supplemental fentanyl was administered per hemodynamic guidelines. Postoperative pain and patient-controlled intravenous morphine use were serially assessed for 48 h. RESULTS: The proportion of patients receiving supplemental fentanyl intraoperatively was more than 3 times greater in the control group (20 of 30 vs. 6 of 29, P = 0.001). In the postanesthesia care unit, a greater than fourfold reduction in pain scores was observed in the plexus group (visual analogue scale [VAS] pain score at arrival 1.3 +/- 2 vs. 5.6 +/- 3, P < 0.001), and "rescue" morphine boluses (administered if VAS > 3) were administered 10 times less frequently (in 2 of 28 vs. in 22 of 29 patients, P < 0.0001). Pain scores and morphine consumption remained significantly lower in the plexus group until 6 h after randomization (VAS at 6 h, 1.4 +/- 1.3 vs. 2.4 +/- 1.4, P = 0.007; cumulative morphine at 6 h, 5.6 +/- 4.7 vs. 12.6 +/- 7.5 mg, P < 0.0001). Operative and postoperative (48 h) blood loss was modestly decreased in the treated group. Epidural-like distribution of anesthesia occurred in 3 of 28 plexus group patients, but no other side-effects were noted. CONCLUSIONS: Posterior lumbar plexus block provides effective analgesia for total hip arthroplasty, reducing intra- and postoperative opioid requirements. Moreover, blood loss during and after the procedure is diminished. Epidural anesthetic distribution should be anticipated in a minority of cases. (+info)The lumbosacral plexus is a complex network of nerves that arises from the lower part of the spinal cord, specifically the lumbar (L1-L5) and sacral (S1-S4) roots. This plexus is responsible for providing innervation to the lower extremities, including the legs, feet, and some parts of the abdomen and pelvis.
The lumbosacral plexus can be divided into several major branches:
1. The femoral nerve: It arises from the L2-L4 roots and supplies motor innervation to the muscles in the anterior compartment of the thigh, as well as sensation to the anterior and medial aspects of the leg and thigh.
2. The obturator nerve: It originates from the L2-L4 roots and provides motor innervation to the adductor muscles of the thigh and sensation to the inner aspect of the thigh.
3. The sciatic nerve: This is the largest nerve in the body, formed by the union of the tibial and common fibular (peroneal) nerves. It arises from the L4-S3 roots and supplies motor innervation to the muscles of the lower leg and foot, as well as sensation to the posterior aspect of the leg and foot.
4. The pudendal nerve: It originates from the S2-S4 roots and is responsible for providing motor innervation to the pelvic floor muscles and sensory innervation to the genital region.
5. Other smaller nerves, such as the ilioinguinal, iliohypogastric, and genitofemoral nerves, also arise from the lumbosacral plexus and supply sensation to various regions in the lower abdomen and pelvis.
Damage or injury to the lumbosacral plexus can result in significant neurological deficits, including muscle weakness, numbness, and pain in the lower extremities.
Neurofibrosarcoma is a rare type of soft tissue sarcoma, which is a cancer that develops in the soft tissues of the body such as fat, muscle, tendons, blood vessels, and nerves. Neurofibrosarcoma specifically arises from the nerve sheath cells, also known as the Schwann cells, that cover and protect the peripheral nerves.
This type of cancer typically forms a painless mass or tumor in the affected area, which can grow and invade nearby tissues and organs over time. Neurofibrosarcoma can occur anywhere in the body but is most commonly found in the arms, legs, trunk, or head and neck region.
Neurofibrosarcoma can be classified into two main types: conventional and malignant peripheral nerve sheath tumor (MPNST). Conventional neurofibrosarcoma is more common and tends to occur in older adults, while MPNST is a more aggressive form that is associated with genetic disorders such as neurofibromatosis type 1.
Treatment for neurofibrosarcoma typically involves surgical removal of the tumor, along with radiation therapy and/or chemotherapy to help prevent recurrence and spread of the cancer. The prognosis for neurofibrosarcoma varies depending on several factors, including the size and location of the tumor, the patient's age and overall health, and the stage of the disease at diagnosis.
The lumbosacral region is the lower part of the back where the lumbar spine (five vertebrae in the lower back) connects with the sacrum (a triangular bone at the base of the spine). This region is subject to various conditions such as sprains, strains, herniated discs, and degenerative disorders that can cause pain and discomfort. It's also a common site for surgical intervention when non-surgical treatments fail to provide relief.
The choroid plexus is a network of blood vessels and tissue located within each ventricle (fluid-filled space) of the brain. It plays a crucial role in the production of cerebrospinal fluid (CSF), which provides protection and nourishment to the brain and spinal cord.
The choroid plexus consists of modified ependymal cells, called plexus epithelial cells, that line the ventricular walls. These cells have finger-like projections called villi, which increase their surface area for efficient CSF production. The blood vessels within the choroid plexus transport nutrients, ions, and water to these epithelial cells, where they are actively secreted into the ventricles to form CSF.
In addition to its role in CSF production, the choroid plexus also acts as a barrier between the blood and the central nervous system (CNS), regulating the exchange of substances between them. This barrier function is primarily attributed to tight junctions present between the epithelial cells, which limit the paracellular movement of molecules.
Abnormalities in the choroid plexus can lead to various neurological conditions, such as hydrocephalus (excessive accumulation of CSF) or certain types of brain tumors.
The sacrum is a triangular-shaped bone in the lower portion of the human vertebral column, located between the lumbar spine and the coccyx (tailbone). It forms through the fusion of several vertebrae during fetal development. The sacrum's base articulates with the fifth lumbar vertebra, while its apex connects with the coccyx.
The sacrum plays an essential role in supporting the spine and transmitting weight from the upper body to the pelvis and lower limbs. It also serves as an attachment site for various muscles and ligaments. The sacral region is often a focus in medical and chiropractic treatments due to its importance in spinal stability, posture, and overall health.
The brachial plexus is a network of nerves that originates from the spinal cord in the neck region and supplies motor and sensory innervation to the upper limb. It is formed by the ventral rami (branches) of the lower four cervical nerves (C5-C8) and the first thoracic nerve (T1). In some cases, contributions from C4 and T2 may also be included.
The brachial plexus nerves exit the intervertebral foramen, pass through the neck, and travel down the upper chest before branching out to form major peripheral nerves of the upper limb. These include the axillary, radial, musculocutaneous, median, and ulnar nerves, which further innervate specific muscles and sensory areas in the arm, forearm, and hand.
Damage to the brachial plexus can result in various neurological deficits, such as weakness or paralysis of the upper limb, numbness, or loss of sensation in the affected area, depending on the severity and location of the injury.
A fibrin tissue adhesive is a type of surgical glue that is used to approximate and secure together cut or wounded tissues in the body during surgical procedures. It is made from fibrin, a protein involved in blood clotting, and is often combined with other substances like thrombin and calcium chloride to promote clot formation and enhance adhesion.
Fibrin tissue adhesives work by mimicking the body's natural clotting process. When applied to the wound site, the fibrinogen component of the adhesive is converted into fibrin by the thrombin component, creating a stable fibrin clot that holds the edges of the wound together. This helps to promote healing and reduce the risk of complications such as bleeding or infection.
Fibrin tissue adhesives are commonly used in various surgical procedures, including dermatologic, ophthalmic, orthopedic, and neurologic surgeries. They offer several advantages over traditional suturing methods, such as reduced operation time, less trauma to the tissues, and improved cosmetic outcomes. However, they may not be suitable for all types of wounds or surgical sites, and their use should be determined by a qualified healthcare professional based on individual patient needs and circumstances.
Brachial plexus neuropathies refer to a group of conditions that affect the brachial plexus, which is a network of nerves that originates from the spinal cord in the neck and travels down the arm. These nerves are responsible for providing motor and sensory function to the shoulder, arm, and hand.
Brachial plexus neuropathies can occur due to various reasons, including trauma, compression, inflammation, or tumors. The condition can cause symptoms such as pain, numbness, weakness, or paralysis in the affected arm and hand.
The specific medical definition of brachial plexus neuropathies is:
"A group of conditions that affect the brachial plexus, characterized by damage to the nerves that results in motor and/or sensory impairment of the upper limb. The condition can be congenital or acquired, with causes including trauma, compression, inflammation, or tumors."
The sciatic nerve is the largest and longest nerve in the human body, running from the lower back through the buttocks and down the legs to the feet. It is formed by the union of the ventral rami (branches) of the L4 to S3 spinal nerves. The sciatic nerve provides motor and sensory innervation to various muscles and skin areas in the lower limbs, including the hamstrings, calf muscles, and the sole of the foot. Sciatic nerve disorders or injuries can result in symptoms such as pain, numbness, tingling, or weakness in the lower back, hips, legs, and feet, known as sciatica.
Pit and fissure sealants are a preventive dental treatment that involves the application of a thin, plastic coating to the chewing surfaces of teeth, usually the molars and premolars. The goal of this treatment is to protect the pits and fissures, which are the grooves and depressions on the chewing surfaces of teeth, from decay.
The sealant material flows into the pits and fissures, creating a smooth, protective barrier that prevents food and bacteria from becoming trapped in these areas and causing cavities. The procedure is typically quick, painless, and non-invasive, and can be performed during a routine dental checkup. Sealants are most commonly recommended for children and adolescents, but they may also be appropriate for adults who are at high risk of tooth decay.
Fibrin is defined as a protein that is formed from fibrinogen during the clotting of blood. It plays an essential role in the formation of blood clots, also known as a clotting or coagulation cascade. When an injury occurs and bleeding starts, fibrin threads form a net-like structure that entraps platelets and red blood cells to create a stable clot, preventing further loss of blood.
The process of forming fibrin from fibrinogen is initiated by thrombin, another protein involved in the coagulation cascade. Thrombin cleaves fibrinogen into fibrin monomers, which then polymerize to form long strands of fibrin. These strands cross-link with each other through a process catalyzed by factor XIIIa, forming a stable clot that protects the wound and promotes healing.
It is important to note that abnormalities in fibrin formation or breakdown can lead to bleeding disorders or thrombotic conditions, respectively. Proper regulation of fibrin production and degradation is crucial for maintaining healthy hemostasis and preventing excessive clotting or bleeding.
Tissue adhesives, also known as surgical glues or tissue sealants, are medical devices used to approximate and hold together tissues or wounds in place of traditional sutures or staples. They work by creating a bond between the tissue surfaces, helping to promote healing and reduce the risk of infection. Tissue adhesives can be synthetic or biologically derived and are often used in various surgical procedures, including ophthalmic, dermatological, and pediatric surgeries. Some common types of tissue adhesives include cyanoacrylate-based glues, fibrin sealants, and collagen-based sealants.
Lumbosacral plexus
Foot drop
Sacral plexus
Robert Wiedersheim
Nerve compression syndrome
Nerve decompression
Pudendal plexus (nerves)
Nerve to obturator internus
Proximal diabetic neuropathy
Spinal cord
Neuromere
Duverney fracture
Radiation-induced lumbar plexopathy
Sciatic nerve
Piriformis syndrome
Plexopathy
Sacrum
Lateral sural cutaneous nerve
Sural nerve
Lumbosacral trunk
Walter A. Wohlgemuth
Lumbar plexus
Michael Day (paleoanthropologist)
Nerve plexus
Spinal nerve
Magnetic resonance neurography
Ankle jerk reflex
Index of anatomy articles
Causes of cancer pain
List of ICD-9 codes 800-999: injury and poisoning
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Lumbo-sacral plexus1
- In addition, concerning the neural system, the comparative study on the composition of the lumbo-sacral plexus representing the origin of the nerves that are destined to the pelvic members, shows a particular interest for being an anatomical segment involved in evolutionary aspects of posture and locomotion. (usp.br)
Nerves15
- The anterior divisions of the lumbar nerves, sacral nerves, and coccygeal nerve form the lumbosacral plexus, the first lumbar nerve being frequently joined by a branch from the twelfth thoracic. (wikipedia.org)
- The trapezius muscle is innervated by nerves from which plexus? (brainscape.com)
- Surgical treatment of the lower lumbar levels and longer operating times have been associated with an increased risk of nerve injuries, especially the lumbosacral plexus - a major group of nerves that supply the lower back and legs. (spine-health.com)
- The aim of this work was to study the origin, composition and resulting nerves of the lumbar, sacral, and coccygeal plexuses in monkey Cebus apella in order to obtain a better comprehension of the pelvis and pelvic member neural supply in this animal. (usp.br)
- Enhancement and enlargement of the optic nerves and occasionally peripheral nerves (e.g. lumbosacral plexus) can also be seen 2,12 . (radiopaedia.org)
- The affected structures may include peripheral nerves (neuropathy), spinal nerve roots (radiculopathy), neural plexus (brachial or lumbosacral plexopathy), or cranial nerves (cranial neuropathy) 4 . (radiopaedia.org)
- The anterior divisions of the sacral and coccygeal nerves ( rami anteriores ) form the sacral and pudendal plexuses. (bartleby.com)
- Each receives a gray ramus communicans from the corresponding ganglion of the sympathetic trunk, while from the third and frequently from the second and the fourth sacral nerves, a white ramus communicans is given to the pelvic plexuses of the sympathetic. (bartleby.com)
- The sacral plexus is formed by the lumbosacral trunk, the anterior division of the first, and portions of the anterior divisions of the second and third sacral nerves. (bartleby.com)
- The nerves forming the sacral plexus converge toward the lower part of the greater sciatic foramen, and unite to form a flattened band, from the anterior and posterior surfaces of which several branches arise. (bartleby.com)
- these two nerves sometimes arise separately from the plexus, and in all cases their independence can be shown by dissection. (bartleby.com)
- The superior gluteal vessels run between the lumbosacral trunk and the first sacral nerve, and the inferior gluteal vessels between the second and third sacral nerves. (bartleby.com)
- The sacral plexus (plexus sacralis) is a nerve plexus that provides motor and sensory nerves for the posterior thigh, most of the lower leg, the entire foot, and part of the pelvis (see the following image). (medscape.com)
- The sacral plexus is formed by the union of the lumbosacral trunk (from the anterior rami of L4 and L5) and the anterior rami of the first, second, third, and fourth sacral nerves. (medscape.com)
- From the second, third, and fourth sacral nerves, a pelvic splanchnic nerve is given to the inferior hypogastric plexus. (medscape.com)
Brachial or lumbosacral1
- Disorders of the brachial or lumbosacral plexus cause a painful mixed sensorimotor disorder of the corresponding limb. (msdmanuals.com)
Pelvic malignancies1
- Perineural spread of pelvic malignancies to the lumbosacral plexus and beyond: clinical and imaging patterns. (medscape.com)
Pudendal plexus2
- For descriptive purposes this plexus is usually divided into three parts: lumbar plexus sacral plexus pudendal plexus Injuries to the lumbosacral plexus are predominantly witnessed as bone injuries. (wikipedia.org)
- The anterior division of the third sacral nerve divides into an upper and a lower branch, the former entering the sacral and the latter the pudendal plexus. (bartleby.com)
Pelvis1
- 829- Dissection of side wall of pelvis showing sacral and pudendal plexuses. (bartleby.com)
Lumbar spine1
- Gadolinium-enhanced magnetic resonance imaging (MRI) of the lumbosacral plexuses and lumbar spine demonstrated enhancement of the cauda equina nerve roots bilaterally, sparing the lumbosacral plexuses (Fig. 1 ). (biomedcentral.com)
Diabetes mellitus3
- Lumbosacral radiculoplexus neuropathy is usually associated with diabetes mellitus, is typically painful at presentation, and often associated with long-term residual neurologic deficits. (biomedcentral.com)
- Our patient's case highlights that lumbosacral radiculoplexus neuropathy, an already rare disorder, can occur in the absence of diabetes mellitus and pain, making it even harder to recognize. (biomedcentral.com)
- Lumbosacral radiculoplexus neuropathy (LRPN), also known as amyotrophy, is an uncommon monophasic disorder characterized by inflammation of the lumbosacral nerve roots and/or plexuses, usually associated with diabetes mellitus [ 1 , 2 , 3 ]. (biomedcentral.com)
Injuries3
- In lumbosacral plexus injuries can we identify indicators that predict spontaneous recovery or the need for surgical treatment? (wikipedia.org)
- Neurologic injuries after pelvic surgery all generally share a common etiology, specifically injury to one or more components of the lumbosacral nerve plexus. (nih.gov)
- A thorough understanding of the anatomy of the lumbosacral nerve plexus and the mechanisms by which operative injuries to this plexus occur will enable the gynecologic surgeon to reduce the subsequent risk of their occurrence in his or her own surgical practice. (nih.gov)
Plexopathies1
- Brachial and lumbosacral plexopathies: a review. (medscape.com)
Injury6
- Lumbosacral trunk and sacral plexus palsies are common injury patterns. (wikipedia.org)
- Journal of Brachial Plexus and Peripheral Nerve Injury. (wikipedia.org)
- Short description: Brachial plexus injury. (icd9data.com)
- Neural monitoring, including electromyography (EMG), is mandatory with the XLIF, because it employs a muscle-splitting technique that exposes the lumbar plexus to potential injury. (surgicalneurologyint.com)
- 5 37 63 ] In fact, injury to this plexus is one of the main risk factors of this procedure. (surgicalneurologyint.com)
- Unlike chronic liver disease, Burton SR, Hahn AF (1992) Obstetrical lumbosacral plexus injury. (myforextradingsecret.com)
Lesion2
- Brachial plexus lesion results in loss of motor and sensory function, being more harmful in the neonate. (hindawi.com)
- Upper and lower limb innervation is greatly affected by brachial and lumbosacral plexus lesion, leading to loss of motor and sensory function [ 1 - 7 ]. (hindawi.com)
Plexopathy4
- [ 27 ] Low- (0.1 g/kg/d) and higher-dose (0.2-2 g/kg/d) intravenous immunoglobulin therapy has, in limited cases, been successfully used for idiopathic brachial and lumbosacral plexopathy. (medscape.com)
- Harish Bindiganavile S, Prabhu A. Neoplastic Lumbosacral Plexopathy. (medscape.com)
- The relationship between lumbosacral plexopathy and pelvic fractures. (medscape.com)
- Magnetic resonance imaging in cancer-related lumbosacral plexopathy. (medscape.com)
Sacralis1
- The Sacral Plexus ( plexus sacralis ) (Fig. 828 ). (bartleby.com)
Dissection2
- Atlas image: abdo_wall72 at the University of Michigan Health System - "Lumbosacral Plexus" Lumbosacral plexus Deep dissection. (wikipedia.org)
- Lumbosacral plexus Deep dissection. (wikipedia.org)
Nerve roots2
- Lumbosacral radiculoplexus neuropathy, also known as amyotrophy, is an uncommon monophasic disorder characterized by inflammation of the lumbosacral nerve roots and plexuses. (biomedcentral.com)
- Clinical localization to the lumbosacral plexus was supported by neurodiagnostic tests, and magnetic resonance imaging of the lumbosacral plexus showed that the nerve roots were also involved. (biomedcentral.com)
Clinical1
- Diagnosis of a plexus disorder is suggested by clinical findings. (msdmanuals.com)
Spinal roots1
- Although anatomical repair of spinal roots and other lesioned plexus components constitute the primary approach, additional strategies are necessary to enhance neuroprotection and to improve the regenerative response of severed neurons. (hindawi.com)
Peripheral1
- Manifestations of plexus disorders include extremity pain and motor or sensory deficits that do not correspond to an isolated nerve root or peripheral nerve distribution. (msdmanuals.com)
Innervation1
- Sacral plexus innervation. (medscape.com)
Neuropathy4
- Elevated Cerebrospinal fluid protein in diabetic lumbosacral plexus neuropathy, Quarterly Journal of Medicine, 2011, Sep 14 [Epub ahead of print]. (lancsteachinghospitals.nhs.uk)
- We report a case of painless, nondiabetic lumbosacral radiculoplexus neuropathy in a young Chinese woman, who made a full recovery after treatment with intravenous immunoglobulin, adding an atypical case to the scarce literature on lumbosacral radiculoplexus neuropathy. (biomedcentral.com)
- After treatment with intravenous immunoglobulin for nondiabetic lumbosacral radiculoplexus neuropathy, the patient had a full recovery. (biomedcentral.com)
- With an accurate diagnosis, our case also demonstrates that appropriate and prompt treatment can lead to complete recovery, despite previous reports suggesting a high prevalence of long-term residual deficits after lumbosacral radiculoplexus neuropathy. (biomedcentral.com)
Sensory1
- For acute brachial neuritis, findings include severe supraclavicular pain, weakness, and diminished reflexes, with minor sensory abnormalities in the distribution of the brachial plexus. (msdmanuals.com)
Occasionally1
- occasionally involves a plexus. (msdmanuals.com)
Magnetic1
- To study the role of magnetic resonance neurography (MRN) of the lumbosacral plexus in management of patients with failed back surgery syndrome (FBSS). (elsevierpure.com)
Shoulder1
- Addition of Liposome Bupivacaine to Bupivacaine HCl Versus Bupivacaine HCl Alone for Interscalene Brachial Plexus Block in Patients Having Major Shoulder Surgery. (orthopaedicresearchfoundationgenk.be)
Symptoms1
- FBSS is a complex problem and MRN of lumbosacral plexus impacts its management by better directing source of symptoms. (elsevierpure.com)
Patients2
- In patients receiving anticoagulants, a hematoma may compress the lumbosacral plexus. (msdmanuals.com)
- Le présent article décrit les manifestations cliniques, le diagnostic et la prise en charge de la schistosomiase médullaire chez cinq patients admis dans les hôpitaux Shaab et Ibn Khaldoun de Khartoum entre 1997 et 2007. (who.int)
Management1
- Mexiletine, a class 1b antiarrhythmic, at 200 mg bid, has been used for the management of significant neuropathic pain due to neoplastic plexus infiltration. (medscape.com)