What are the diagnostic considerations in diabetic lumbosacral plexopathy?

Updated: Jan 04, 2021
  • Author: Divakara Kedlaya, MBBS; Chief Editor: Milton J Klein, DO, MBA  more...
  • Print
Answer

The diagnosis of diabetic lumbosacral plexopathy is generally based on the clinical presentation, including the presence of diabetes, and neural studies (see Clinical Presentation and Workup). In addition to the conditions listed in the Differentials section (see Differentials), the following should also be considered:

  • Immune-mediated lichen planus - vasculitis

  • Hemorrhage

  • Hematoma

  • Intra-arterial injections

  • Ischemic lumbar plexopathy

  • Obstetric-gynecologic complications or complications following any pelvic surgery

  • Lumbar radiculopathy

  • Other causes of lumbosacral plexopathy

It is especially important to distinguish diabetic lumbosacral plexopathy from compressive radiculopathy in order to spare patients unnecessary surgery.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!