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Case Reports in Neurological Medicine
Volume 2015, Article ID 707362, 3 pages
http://dx.doi.org/10.1155/2015/707362
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.

Abstract

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.