Korean J Clin Neurophysiol.  2013 Dec;15(2):68-70. 10.14253/kjcn.2013.15.2.68.

Recurrent Atopic Myelitis Presenting as an Isolated Lhermitte's Sign

• Ji KH
• Choi WC
• Seo JH
• Chung EJ
• Kim SJ
• Kim OK
• Bae JS

• KMID: 1863277
• DOI: http://doi.org/10.14253/kjcn.2013.15.2.68

Abstract

Atopic myelitis (AM) is a relatively mild form of myelitis associated with allergic diathesis, and present with predominant sensory manifestations. Lhermitte's sign has been considered as a relatively non-specific clinical sign suggesting demyelinating lesion in cervical cord. Here we report a patient with recurrent AM who presented with isolated Lhermitte's sign, both in first and second attacks. This report suggests that either the diagnosis or recurrence of AM can be frequently underdiagnosed because of its predominant sensory manifestations.

Keyword

Myelitis; Atopy; Lhermitte's sign

MeSH Terms

Diagnosis
Disease Susceptibility
Humans
Myelitis*
Recurrence

Figure

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  Figure 1. Cervical MRI findings. Initial image (A) showed focal high signal intensity at C3-4 level in T2-weighted image. Follow-up scans after 3 months demonstrate new lesion at C4-5 level in sagittal T2-weighted (B) and axial multiplanar gradient echo sequence (D) with a subtle enhancement in gadolinium-enhanced T1-weighted (C) image and original signal disappeared. Arrow indicates each lesion.

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