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Lumbosacral plexopathy after gunshot wounds: A case report [Meeting Abstract]

Traeger Z.T.; Gold J.; Hill C.K.; Ma D.; Silver A.
Patients or Programs: A 14-year-old boy with lumbosacral plexopathy after gunshot wounds. Program Description: The patient presented to acute care after 2 gunshot wounds to the abdomen, which required multiple procedures, including a laparotomy and left thoracotomy for abdominal aortic repair. He had an L3 fracture and paraspinal hematoma, with paresthesias and left lower extremity (LLE) weakness. He was given a lumbar sacral orthosis and an ankle-foot orthosis. Upon admission to acute rehabilitation, his LLE strength was 2-/5 to 3-/5 except 0/5 for dorsiflexion. He had LLE tingling. Electrodiagnostic testing revealed positive sharp waves in the left tibialis anterior, peroneus longus, tibialis posterior, tensor fascia lata, gastrocnemius, vastus medialis and rectus femoris, and gluteus maximus with reduced recruitment patterns on strong effort. There was no response on sensory nerve action potentials in the left superficial and sural nerves. Findings were consistent with a left lumbosacral plexopathy with the L5 root most severely involved. Setting: A pediatric rehabilitation unit in a tertiary care hospital. Results: The patient made significant functional gains, with improvements in bed mobility, transfers, and ambulation. Upon discharge, he was independent in activities of daily living and ambulated 100 ft modified independent with a cane. He was without further improvement of innervation of LLE or gait pattern as an outpatient. He is pending reimaging and electrodiagnostics and possible plexus exploration for adhesions. Discussion: The patient presented with a lumbosacral plexopathy after trauma, an L3 fracture, paraspinal hematoma, and abdominal surgery. Lumbosacral plexopathy is relatively uncommon because the plexus has a rich blood supply. It presents with motor and sensory deficits in a distribution of multiple nerves that originate from the plexus. Etiologies include pelvic injuries or tumors, hemorrhages, trauma, ischemia, inflammation, and postpartum injury. Conclusions: Lumbosacral plexopathy is rare, has varying etiologies, and may cause severe neurologic deficits. Electrodiagnostic testing can be diagnostic
EMBASE:70608800
ISSN: 1934-1482
CID: 147767

Recognizing post-polio syndrome [Case Report]

Bartfeld H; Ma D
The disorder consists of fatigue accompanied by new muscle weakness and muscle pain or, for patients whose acute polio had included bulbar involvement, new difficulty in swallowing or change in voice. The epidemiology remains unclear, fueling anxiety among polio survivors. Yet its course is not drastically progressive, and impairment is usually limited
PMID: 8632051
ISSN: 2154-8331
CID: 56861

Mononeuropahty multiplex as primary feature in hypereosinophilic syndrome [Meeting Abstract]

McManus M; Ma DM; Cohen JM
ORIGINAL:0005681
ISSN: 0003-9993
CID: 66768

Radiation induced bilateral hypoglossal nerve palsy [Meeting Abstract]

Ma DM; Cohen JM; Siegel S
ORIGINAL:0005680
ISSN: 0003-9993
CID: 66767

Ulnar nerve conduction study for localization of compression neuropathy fat Gyon's Canal: case report [Meeting Abstract]

Ma DM; Cohen JM
ORIGINAL:0005679
ISSN: 0003-9993
CID: 66766

Reflex sympathetic dystrophy of the upper extremity following infection and removal of silicone breast implant

Rosenblum J; Spielholz N; Lee MHM; Ma D
ORIGINAL:0005712
ISSN: 0890-6599
CID: 66826

Laboratory reference for clinical neurophysiology : Jay A. Liveson, Dong M. Ma

Liveson, Jay Allan; Ma, Dong M
Philadelphia : F.A. Davis, 1992
Extent: xiv, 513 p. ; 27 cm
ISBN: 9780803656512
CID: 1777612

Case reports of unusual compression neuropathies in the upper extremities [Meeting Abstract]

Cohen JM; Ma DM
ORIGINAL:0005678
ISSN: 0003-9993
CID: 66765

A METHOD OF STANDARDIZING STIMULUS-INTENSITY IN DERMATOMAL SOMATOSENSORY EVOKED-POTENTIALS [Meeting Abstract]

Ma, DM; Peppard, TR; Spielholz, NT; Keebler, PJ
ISI:A1988Q307800124
ISSN: 0003-9993
CID: 31440

CASE-REPORT - MULTIPLE NEUROPATHIES FOLLOWING PROXIMAL ARTERIOVENOUS-FISTULA PLACEMENTS IN A UREMIC PATIENT WITH DIABETES-MELLITUS [Meeting Abstract]

Peppard, TR; Lamparello, PJ; Ma, DM; Spielholz, NI
ISI:A1988Q307800256
ISSN: 0003-9993
CID: 31441