Literature DB >> 11927103

[Lhermitte's sign].

J M García-Moreno1, G Izquierdo.   

Abstract

Besides Babinski's, Lhermitte's sign is likely the eponym mostly used in the neurological literature. We review here the history of this eponym as well as recent advances on its pathophysiology and treatment. Lhermitte's phenomenon is, on one hand, a symptom as it is spontaneously explained by patients, and, on the other hand, a sign as it may be triggered by flexion of the nape. Initially described after head and cervical spine trauma, firstly by Marie and then by Babinski, it was Jean Lhermitte who recognized on it an etiological specificity, namely, a demyelinating sign of cervical spinal posterior cords. He also made a pathophysiological interpretation of the phenomenon, namely, a stretching of posterior cords during flexion of the neck. All authors agree that this phenomenon is more common in multiple sclerosis, although it has been descibed in many other conditions. The history of how this sign was hatched, whose pathophysiology remains a mystery, is fascinating. And it is fascinating the fact that patients compare the phenomenon with a current, especially if we bear in mind that few people may have suffered an electrocution, mainly in that time when just a few ones could actually enjoy domestic electricity.

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Mesh:

Year:  2002        PMID: 11927103

Source DB:  PubMed          Journal:  Neurologia        ISSN: 0213-4853            Impact factor:   3.109


  6 in total

1.  Lhermitte's Sign in a Patient with Thoracic Myelitis.

Authors:  Ryoji Miyano; Naohiro Uchio; Toshiyuki Takahashi; Hideyuki Matsumoto
Journal:  Intern Med       Date:  2020-04-23       Impact factor: 1.271

2.  Polymicrobial Osteomyelitis of the Odontoid Process with Epidural Abscess: Case Report and Review of Literature.

Authors:  Avinash Haridas; Daniel C Walsh; David H Mowle
Journal:  Skull Base       Date:  2003-05

3.  Hemiparesis in spontaneous spinal epidural haematoma: a potential stroke imitator.

Authors:  Ravish Patel; Aravind Kumar; Kazuya Nishizawa; Naresh Kumar
Journal:  BMJ Case Rep       Date:  2018-01-26

4.  Spontaneous spinal epidural hematoma with hemiparesis mimicking acute cerebral infarction: two case reports.

Authors:  Hiroaki Matsumoto; Takanori Miki; Yuki Miyaji; Hiroaki Minami; Atsushi Masuda; Shogo Tominaga; Yasuhisa Yoshida; Ikuya Yamaura; Shigeo Matsumoto; Shigeatsu Natsume; Kozo Yoshida
Journal:  J Spinal Cord Med       Date:  2012-07       Impact factor: 1.985

5.  Lhermitte's Sign Developing after IMRT for Head and Neck Cancer.

Authors:  Dong C Lim; Patrick J Gagnon; Sophia Meranvil; Darryl Kaurin; Linda Lipp; John M Holland
Journal:  Int J Otolaryngol       Date:  2010-06-14

6.  Incidence and predictors of Lhermitte's sign among patients receiving mediastinal radiation for lymphoma.

Authors:  Bassem Youssef; JoAnn Shank; Jay P Reddy; Chelsea C Pinnix; George Farha; Mani Akhtari; Pamela K Allen; Michelle A Fanale; John A Garcia; Patricia H Horace; Sarah Milgrom; Grace Li Smith; Yago Nieto; Isadora Arzu; He Wang; Nathan Fowler; Maria Alma Rodriguez; Bouthaina Dabaja
Journal:  Radiat Oncol       Date:  2015-09-25       Impact factor: 3.481

  6 in total

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