Lhermitte Sign as a Presenting Symptom of Thoracic Spinal Pathology: A Case Study.
A 54-year-old male with ankylosing spondylitis presented with complaints of progressively worsening bilateral leg weakness and difficulty ambulating of 2-week duration. He also felt a sharp, electric, shock-like sensation radiating from his lower back into his legs upon flexing the trunk. There was no history of trauma or other inciting events within the 2 weeks prior to presentation. Thoracic MRI at this visit showed a three-column fracture at T11-T12. He underwent spinal fusion surgery and within 2 days after surgery the radiating electrical sensation with spinal flexion had completely resolved.
Class of 2015, OUWB School of Medicine, Rochester, MI 48309, USA.
Adam
A
Hills
Department of Neurology, William Beaumont Health System, Troy, MI 48085, USA.
Mazen
M
Al-Hakim