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September 1983

Recurrent Lumbosacral and Brachial Plexopathy Associated With Schistosomiasis

Author Affiliations

From the Department of Neurology, University of Wisconsin Medical School, Milwaukee.

Arch Neurol. 1983;40(9):586-588. doi:10.1001/archneur.1983.04050080086018

• A 42-year-old man had clinical and electrophysiologic evidence of recurrent neuralgic amyotrophy involving both the brachial and lumbosacral plexus. His illness occurred in the context of rectal biopsy-proven Schistosoma japonicum infestation. The absence of evidence for direct parasitic infestation of the peripheral nervous system suggested a parainfectious dysimmune phenomenon. This case appears to support the contention that idiopathic lumbosacral plexopathy exists as a diagnostic entity, and is similar in its clinical expression and pathogenesis to the more well-known neuralgic amyotrophy of the brachial plexus.