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.
REFERENCES
1.Isobe N., Kanamori Y., Yonekawa T., Matsushita T., Shigeto H., Kawamura N, et al. First diagnostic criteria for atopic myelitis with special reference to discrimination from myelitis-onset multiple sclerosis. J Neurol Sci. 2012. 316:30–35.
2.Kira J., Yamasaki K., Kawano Y., Kobayashi T. Acute myelitis associated with hyperIgEemia and atopic dermatitis. J Neurol Sci. 1997. 148:199–203.
3.Lee KJ., Baek IC., LEE JY., Kim SB., Park SM., Lim JG, et al. Characterisitcs of atopic myelitis and its relationship with toxocara canis myelitis. J Korean Neurol Assoc. 2013. 31:158–164.
4.Yoon JH., Joo IS., Li WY., Sohn SY. Clinical and laboratory characteristics of atopic myelitis: Korean experience. J Neurol Sci. 2009. 285:154–158.
5.Osoegawa M., Ochi H., Minohara M., Murai H., Umehara F., Furuya H, et al. Myelitis with atopic diathesis: a nationwide survey of 79 cases in Japan. J Neurol Sci. 2003. 209:5–11.
6.Kempster PA., Rollinson RD. The Lhermitte phenomenon: variant forms and their significance. J Clin Neurosci. 2008. 15:379–381.