Pelvic Pain Perplexity: A Case of Post-Zoster Sacral Plexopathy

Authors

Amanda Herrera, Corewell Health East Resident
Patrick Thrasher, Corewell Health East Resident
Roy Soto, Corewell Health East

Document Type

Conference Proceeding

Publication Date

10-12-2025

Abstract

Varicella zoster virus lumbosacral plexopathy is a rare and under-recognized disease that can mimic common spondyloarthropathy presentations. We present a 26-year-old male with no significant past medical history who presented with chief complaints of pelvic numbness and tingling. Extensive diagnostic work-up, including Lumbar MRI, Pelvic MRI, EMG and laboratory tests, was negative, except for elevated varicella zoster titers. The patient was subsequently diagnosed with post-herpes zoster lumbosacral plexopathy. Here we discuss presentation, proposed mechanism, and management of varicella zoster virus lumbosacral plexopathy.

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 10-14, 2025, San Antonio , TX

Recommended Citation

Herrera A, Thrasher P, Soto R. Pelvic pain perplexity: a case of post-zoster sacral plexopathy. Presented at: American Society of Anesthesiologists, The Anesthesiology Meeting; 2025 Oct 12; San Antonio, TX. Available from:https://www.abstractsonline.com/pp8/#!/21028/presentation/9109