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Doctor insights on: Lhermittes Sign

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In what percentage of people does lhermitte's sign indicate multiple sclerosis?

In what percentage of people does lhermitte's sign indicate multiple sclerosis?

Not pathonemonic: Lhermitte's sign is common in ms, but is also associated with multiple other diseases or medical conditions including vitamin B12 deficiency. You should see a board certified neurologist or your primary care doctor for further evaluation. ...Read more

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Is it possible lhermitte's sign from something other than ms. If so, how likely? I had a pulled muscle in back week ago and now this.

Is it possible lhermitte's sign from something other than ms.  If so, how likely? I had a pulled muscle in back week ago and now this.

Not specific: Nothing about lhermitte's that is solely related to ms, and can be seen with any problem affecting the posterior columns of the cervical spinal cord. Includes b-12 deficiency, cervical stenosis or disc problem, decreased spinal cord blood flow, spinal cord contusion or other injuries. ...Read more

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Vibration / buzzing sensation in pelvic area when bending neck / head forward. Is this Lhermitte's sign? Compressed nerve? Cervical herniation?

Vibration / buzzing sensation in pelvic area when bending neck / head forward.  Is this Lhermitte's sign?  Compressed nerve? Cervical herniation?

Lhermitte's sign: is also called barber's chair sign. The electrical sensation can be quite alarming indeed. A more common cause of this in a 41 year old lady would be a demyelinating disorder like MS or Clinically Isolated Syndrome. Other localizing signs and symptoms will help with deciding how to proceed in the work (MRI of a portion of the spinal cord, brain or both). Other cord issues need to be excluded. ...Read more

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Can this be lhermitte sign I get very mild buzzing in the sole of my foot when i bend neck but it happens only after driving?

Can this be lhermitte sign 
I get very mild buzzing in the sole of my foot when i bend neck but it happens only after driving?

Lhermitte's sign: You have obviously read about Lhermitte's sign. It, in and of itself, does not make a diagnosis of anything. What you describe could be due to mechanical compression of the spine by a disc or narrowed spinal canal. The place to start is with your primary physician or a neurologist. Keep a diary of your symptoms - does it occur with sneezes or coughs? Is it better at times and worse others, etc ...Read more

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32 male. C & l X-ray = scoliosis but brain & c spine MRI normal. B12 @ 1100. Suffering from lhermitte's sign. What other tests can determine cause?

32 male. C & l X-ray = scoliosis but brain & c spine MRI normal. B12 @ 1100. Suffering from lhermitte's sign. What other tests can determine cause?

Anatomy: If you do indeed have a true lhermitte's phenomenon, it represents spinal cord irritation over the posterior column, and a cause is always present, but sometimes obscure. Do you have vertebral body instability in neck, (perhaps flexion/extension films), is there diabetes (hgb-a1c), might you have an arteritis (ana profile)? Sometimes, spinal fluid analysis is answer (ms profile). ...Read more

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Lhermitte's sign & oligoclonal bands found in csf. Had no other MS symptoms and mris (cervical & brain), bloods & evokes all normal. Will i get ms?

Lhermitte's sign & oligoclonal bands found in csf. Had no other MS symptoms and mris (cervical & brain), bloods & evokes all normal. Will i get ms?

CIS: Lhermitte's sign is consistent with spinal cord lesion, and bands are about 95% predictive of onset of clinically definite ms in future, but if no lesions seen on either mri, it is not fully clear that your future deflinitely involves ms. If no symptoms, recommend supplementing vitamin d-3, approx 5000 units twice daily (level 50-60 ng/ml), and repeating mri's in 6 months, and if spots, start med. ...Read more

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Lhermitte's sign & muscle twitching for six wks ... clear cervical MRI except for C4/C5 bulging disc with mild stenosis. Cause of the Lhermitte's?

Lhermitte's sign & muscle twitching for six wks ... clear cervical MRI except for C4/C5 bulging disc with mild stenosis.  Cause of the Lhermitte's?

Possibly: Lhermitte`s sign is an electric sensation that runs down the back and into the extremities when the neck is flexed. cervical spondylosis and disc herniation can do this but so can many other disorders including multiple sclerosis and Arnold-Chiari malformation The right person to interpret this is either a Neurologist or a Neurosurgeon ...Read more

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Can neck strain during exercise cause lhermitte's sign (sit ups, push ups, stair climbing).Began w/pulled muscle in lower back&spread to neck.

Can neck strain during exercise cause lhermitte's sign (sit ups, push ups, stair climbing).Began w/pulled muscle in lower back&spread to neck.

Really shouldn't: Understand that lhermitte's sign is a shock-like sensation that radiates to arms and legs during a flexion or forced flexion maneuver of the neck. Classically, this was used to identify ms. It is presently used to commonly identify symptomatic spinal cord compression. So, if you are not having the arm/leg symptoms, this is not lhermitte's sign. If yes, you should consider evaluation by spine md. ...Read more