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Case Reports in Neurological Medicine
Volume 2015, Article ID 707362, 3 pages
Case Report

Lhermitte Sign as a Presenting Symptom of Thoracic Spinal Pathology: A Case Study

1Class of 2015, OUWB School of Medicine, Rochester, MI 48309, USA
2Department of Neurology, William Beaumont Health System, Troy, MI 48085, USA

Received 8 April 2015; Revised 17 July 2015; Accepted 26 July 2015

Academic Editor: Mehmet Turgut

Copyright © 2015 Adam Hills and Mazen Al-Hakim. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.