Document Detail

Reverse Lhermitte's Phenomenon Provoked by Cervical Cord Compression.
MedLine Citation:
PMID:  22879088     Owner:  NLM     Status:  In-Data-Review    
Purpose: Lhermitte's phenomenon (LP) is a rare manifestation, which is defined when a sudden electricshock sensation transmitted down the spine induced by neck flexion; however, the reverse LP is defined when symptoms are induced by neck extension, not flexion. Because reports of LP are limited in the Taiwan literature, we report this case. Case Report: A 74-year-old woman presented to our emergency department with sudden onset of right neck pain when extending the neck. The pain mimicked an electric shock and radiated to the left shoulder. Imaging showed spondylosis and spondylolisthesis without any spinal canal stenosis. A neck collar was recommended, and the strange phenomenon did not recur over the following year. However, long-term follow-up and aggressive workup are recommended to rule in or rule out the possibility of multiple sclerosis in the future. Conclusion: Although LP represents spinal demyelination disorders, reverse LP is induced by extrinsic compression of the cervical cord, and neck collar immobilization rather than intravenous or oral medication is recommended.
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta neurologica Taiwanica     Volume:  21     ISSN:  1028-768X     ISO Abbreviation:  Acta Neurol Taiwan     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-08-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815355     Medline TA:  Acta Neurol Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  35-8     Citation Subset:  IM    
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