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| http://dx.doi.org/10.21315/mjms2024.31.5.21 | DOI Listing |
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Lhermitte's Sign--A Neuropathic Pain and Its Neuroanatomy.
Malays J Med Sci
October 2024
Department of Anaesthesiology, Sarawak General Hospital, Sarawak, Malaysia.
Spinal ependymoma presenting as subtle neurological findings in a VA chiropractic clinic: a case report in differential diagnosis and appropriate use of diagnostic imaging.
J Can Chiropr Assoc
April 2024
VA Finger Lakes Healthcare System, Rochester Clinton Crossings VA Clinic, Rochester NY.
Background: Lhermitte's sign is a nonspecific historical and exam finding that carries with it a differential diagnosis of cervical myelopathy, multiple sclerosis, intradural tumors, or other central nervous system pathology. Regardless of the suspected diagnosis, further diagnostic investigation is indicated to determine etiology of symptoms.
Case Presentation: In this case, a 67-year-old male Veteran presents to a Veterans Affairs (VA) outpatient chiropractic clinic with an insidious 6-month onset of neck pain with historical description of a positive Lhermitte's sign, a single episode of bladder incontinence, and mild changes in upper extremity manual dexterity.
Degenerative Cervical Myelopathy: A Concept Review and Clinical Approach.
Clin Spine Surg
February 2024
Department of Orthopedic Surgery and Sports Medicine, Houston Methodist Hospital, Houston, TX.
Study Design: Narrative review.
Objective: To provide an overview of the evaluation and diagnosis of degenerative cervical myelopathy (DCM).
Summary Of Background Data: DCM describes several etiologies of degenerative, nontraumatic spinal cord impairment.
Sensitization of Hoffmann's sign in response to a reverse Lhermitte's sign: a case report.
J Man Manip Ther
December 2022
Texas Tech University Health Sciences Center School of Medicine, Lubbock Campus: Texas Tech University Health Sciences Center School of Medicine,Lubbock, TX, USA.
Background: Neurologic clustering of findings is recommended with Cervical Spondylotic Myelopathy (CSM). Hoffmann's Sign and Reverse Lhermitte's Sign have been associated with CSM, which, however, have not been discussed as the only objective findings that may cause clinical uncertainty.
Case Description: This case report describes how sensitizing Hoffmann's Sign following a Reverse Lhermitte's Sign guided reasoning, with a 66-year-old male presenting with a right lumbar radiculopathy diagnosis.
Lhermitte's sign and vitamin B12 deficiency: case report.
Sao Paulo Med J
July 2010
Neurology Service , Department of Internal Medicine, Hospital das Clínicas, Universidade Federal do Paraná (UFPR), Paraná, Brazil.
Context And Objective: Lhermitte's sign, a classical neurological sign, is a rare manifestation of vitamin B12 deficiency. The aim here was to report on a case of an elderly patient with vitamin B12 deficiency whose first clinical manifestation was the presence of Lhermitte's sign.
Case Report: We describe an elderly patient with vitamin B12 deficiency who presented cognitive dysfunction, peripheral polyneuropathy and sensory ataxia, and whose first clinical manifestation was the presence of Lhermitte's sign.
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