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Neurology (Expert Forum)
Lhermitte's sign with every movement
Answered by
Lama Chahine, MD - Neurology
Cleveland Clinic
Cleveland - OH
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.
Doctor's Answer
by Lama Chahine, MD, Jul 09, 2009 06:00PM
, Jul 09, 2009 06:00PM
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.
Without the ability to examine you and obtain a history, I can not tell you what the exact cause of your symptoms is. However I will try to provide you with some useful information.
Lhermitte's sign is, as you may know, often related to demyelination resulting from MS in the upper spinal cord. Treatment can include lyrica and other pain medications for neuropathic pain (pain coming from nerves), such as lyrica, neurontin, or elavil. Eye movements are not typically something that would trigger Lhermitte's phenomenon; if you have eye pain when you move your eyes, inflammation of the nerve to the eye (optic neuritis) would need to be excluded. If your eye pain leeds to Lhermitte's sign, it could be because in general, with eye movement some neck movement occurs too; while Lhermitte's sign is classically brought on by neck flexion, other neck movements can bring it on too. In general, Lhermitte's sign improves with time, but in the mean time, medications like Lyrica can be helpful, sometimes more than one medication, combinations, or trials of other medications is necessary.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
Without the ability to examine you and obtain a history, I can not tell you what the exact cause of your symptoms is. However I will try to provide you with some useful information.
Lhermitte's sign is, as you may know, often related to demyelination resulting from MS in the upper spinal cord. Treatment can include lyrica and other pain medications for neuropathic pain (pain coming from nerves), such as lyrica, neurontin, or elavil. Eye movements are not typically something that would trigger Lhermitte's phenomenon; if you have eye pain when you move your eyes, inflammation of the nerve to the eye (optic neuritis) would need to be excluded. If your eye pain leeds to Lhermitte's sign, it could be because in general, with eye movement some neck movement occurs too; while Lhermitte's sign is classically brought on by neck flexion, other neck movements can bring it on too. In general, Lhermitte's sign improves with time, but in the mean time, medications like Lyrica can be helpful, sometimes more than one medication, combinations, or trials of other medications is necessary.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
Thank you again for your answer!
Peace,
Coexist
I hope you don't mind me posting on this subject, only it's just that my questions are related to it. I am new on this website as you've probably noticed and am fascinated that other ppl are having similar symptoms.
Ok, I have the electrical shock sensations going downwards through my body, but more often than not they travel upwards to my head.
Amongst that I have twitches, tremors, numbness, and progressive muscle weakness.
Despite the above - my main concern is: increased electrical activity (like firing neurons) in my brain and upper neck. This in the recent month has now become accompanied with a fizzing/sizzly sensation that goes up from the base of my neck.
More noticable when I slightly lean forward.
I am still patiently waiting for a neurology referral, but this seems to be getting progressively worse.
Any ideas please Doctor?
does not occur every day. It also is now affecting his 1 arm
on the same side of body. (not every day either).He recently
failed the reflex test and is scheduled for an MRI soon.
Please give some indication what this might be. The person is
only 39 and has had reoccuring symptoms for about 3 months
now off and on.
Please help.we are very worried.
i have been having bouts of dizziness a feeling of leaning to the right, and on a couple of occassions i have awakened with blurred vision that lasted the whole day and then went away. i have been feeling nauseas with moderate headaches. i at times lose the feeling in either my left and or right hands and arms, and on accoassion in my legs ( just started recently ). i do have degenerative discs on my 5,6,&7 of my spine. at tmes i feel like i am about to pass out and it will last for 15 to 30 min at a time. sometimes it feels like pressure from my upper jaw to the top of my head. i get the feeling of being disoriented and sometime i appear to see things that appear to be abstract. these are the majority of the issues i am having. if i am in the wrong forum could someone please leed me i the right direction to help me get some answers?
again i am sorry to intrude on this thread.