Re: L'hermitte's sign

Constantinos A. Georgiou (cag(AT)aua.gr)
Wed, 30 Dec 1998 00:44:24 +0200

Peter, I have been told that the L'hermittes sign is a result of meninx's
inflamation. Meninx's are the membranes that surround the myelin (that is
from outside to inside: spinal cord bone, spinal fluid, membrane, myelin,
nerves). This usually is a chronic condition. I have been told that some
times you may suffer from myelitis without noticing it (how strange for
me!!). In such case neuros ask patients to bend their heads quickly to see
if they have the L'hermittes sign. I started to have this sign after I had
recovered from TM quite a bit. I was afraid that this might be a flare up of
TM symptoms but my neuro said that it was neither a good nor a bad sign.
Best wishes for the new year
Costas from Athens Greece who is hot perhaps not due to the weather but to
TM :)

Weissman, Peter wrote:

> Hello everybody and Happy Holidays.
> I have never been given a definite diagnosis of anything other than a
> herniated disk at C5-C6 that required surgical removal and fusion. I
> had symptoms that were indicative of every kind of neurological disease
> I know of....TM,MS, Cervical Mylopothy etc..
>
> I had a L'hermittes sign (pulling of my spinal cord when I bent my neck)
> when I had my herniated disk, but not at the onset of my symptoms.
> After my surgery, my scarring of the spinal cord healed quite a bit but
> I still get chronic flare ups. For this reason my docs have told me
> that the herniated disk may have been secondary to some other
> neurological problem, like MS or TM or god knows.
> In any event, my neuro told me that whatever I might have seems pretty
> benign and, since its been over five years since my symptoms started,
> (and they haven't progressed) my prognosis is good. I'm supposed to see
> my neuro periodically to keep in touch and, if necessary, try some of
> the new meds that might help.
>
> Most of my symptoms don't concern me too much. However, I do get
> chronic recurrences of my L'hermitte's sign. This can be quite
> uncomfortable because certain neck movements create an electrical
> pulling from my waist down to my feet. I never know if this is just a
> chronic thing that will come and go.
>
> I wonder if any of you experience the same symptom and, if so, what you
> know about it. Is it a neurological emergency (I don't think so because
> I've had it before and my neuros never got alarmed)? How long does it
> take for your "flare up" to subside?
>
> Have any of you taken medication that helps reduce this symptom? I have
> found that Clonazepam (used in Epilepsy) reduces the intensity of the
> L'hermitte's but it doesn't heal anything.
>
> Any info you could give me would be appreciated.
>
> Happy New Year
> Peter from Toronto