Elsberg syndrome (ES) is an infectious syndrome presenting with variable signs of acute lumbosacral radiculomyelitis. Its low recognition rate leads to misdiagnosis and incorrect treatment. Thus, some ES patients may develop neurological sequelae. This case described a 74-year-old woman complained of urinary retention, constipation, and sacral numbness after herpes zoster in the perianal area. She was diagnosed with ES and accepted conventional drug treatments and urethral catheterization. The treatment was ineffective; therefore, she accepted electroacupuncture six times and her symptoms completely disappeared, with no recurrence of neurological disorders during 1-year follow-up. This shows that acupuncture is a safe and effective alternative therapy for ES. Nonetheless, further prospective studies are necessary to prove its efficacy in ES.
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| http://dx.doi.org/10.51507/j.jams.2022.15.2.152 | DOI Listing |
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Elsberg syndrome - A systematic review of existing scientific literature from 2000 - 2023.
Pak J Med Sci
December 2024
Dr. Asif Bashir, MD; FAANC; FACS, Punjab Institute of Neurosciences, Lahore, Punjab, Pakistan.
Objective: To assess the clinical presentation, causative agents, and treatment outcomes in patients diagnosed with Elsberg syndrome (ES).
Methods: A thorough literature search was conducted on the mentioned topic using PRISMA guidelines via PubMed, Google Scholar, and SCOPUS. Articles published between 2000 and 2023 were included using advanced search and Boolean strategy.
Elsberg Syndrome: An Overlooked But Treatable Cause of Back Pain.
WMJ
November 2024
Department of General Internal Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Introduction: Elsberg syndrome is an uncommon cause of lumbosacral radiculitis that presents as a constellation of symptoms, including urinary retention, bowel incontinence, severe constipation, impotence, and saddle anesthesia.
Case Presentation: A 32-year-old female presented to the emergency department with complaints of bilateral leg pain and urinary retention. Two weeks prior, she noticed new genital lesions and had a positive nucleic acid amplification test for herpes simplex virus (HSV) type 2.
Elsberg Syndrome With Albuminocytologic Dissociation - A Guillain-Barré Syndrome Mimic or Guillain-Barré Syndrome Variant?
Neurohospitalist
July 2024
Department of Neurology, University of Southern California Keck School of Medicine, Los Angeles, CA, USA.
Introduction: Elsberg Syndrome is a presumed infectious lumbosacral radiculitis, with or without accompanying lumbar myelitis, that is often attributed to herpes simplex virus type 2 (HSV-2).
Case: A 58-year-old man presented with lower extremity anesthesia, ataxic gait, radiological evidence of radiculitis, and CSF albuminocytologic dissociation. Polymerase chain reaction testing of CSF confirmed HSV-2 infection.
Elsberg Syndrome: A Case Report of a Novel Radiographic Presentation.
Neurohospitalist
July 2024
Division of Neuro-Oncology, Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Elsberg syndrome (ES) presents with bowel and bladder dysfunction, resembling cauda equina syndrome, and is classified as a clinicoradiographic syndrome most commonly associated with HSV-2 reactivation. Most cases reveal smooth and continuous nerve enhancement on imaging. We present a unique case of ES that presented as several nodular, ring enhancing soft tissue masses along the cauda equina.
View Article and Find Full Text PDFViral lumbosacral radiculitis (Elsberg syndrome) in Denmark.
Infection
June 2024
Department of Medicine, Zealand University Hospital, Roskilde, Denmark.
Purpose: To describe clinical features and outcomes of viral lumbosacral radiculitis (Elsberg syndrome).
Methods: Nationwide population-based cohort study of all adults hospitalised for viral lumbosacral radiculitis at departments of infectious diseases in Denmark from 2015 to 2020.
Results: Twenty-eight patients with viral lumbosacral radiculitis were included (mean annual incidence: 1.
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