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Lhermitte's sign may also appear during or following high-dose chemotherapy. [7] [8] Irradiation of the cervical spine may also evoke it as an early delayed radiation injury, which occurs within 4 months of radiation therapy. [citation needed] Delayed onset Lhermitte's sign has been reported following head and/or neck trauma.
A positive Spurling's sign is when the pain arising in the neck radiates in the direction of the corresponding dermatome ipsilaterally. [1] It is a type of cervical compression test. Patients with a positive Spurling's sign can present with a variety of symptoms, including pain, numbness and weakness.
Spurling's test: Roy Glenwood Spurling: neurology: cervical radiculopathy: Spurling's manoeuvre and sign at Who Named It? axial compression and rotation of cervical spine to the side of symptoms causes pain Stellwag's sign: Karl Stellwag von Carion: endocrinology: thyrotoxicosis: infrequent and/or incomplete blinking, accompanied by Dalrymple's ...
Therefore, Spurling's test, which take advantage of this phenomenon, is performed by extending and laterally flexing the patient's head and placing downward pressure on it to narrow the intervertebral foramen. [2] Neck or shoulder pain on the ipsilateral side (i.e., the side to which the head is flexed) indicates a positive result for this test.
Lhermitte's sign may indicate cervical radiculopathy or spinal cord disease; Spurling's test tests for cervical spine disease [1] [2]
Similar brief shocks can be experienced when any other nerve is tweaked (e.g. a pinched neck nerve may cause a brief shock-like paresthesia toward the scalp). In the older age group, spinal column irregularities may tweak the spinal cord briefly when the head or back is turned, flexed, or extended into brief uncommon positions (Lhermitte's sign).
Spurling would rather let others call what Lex has cookin’ a dynasty. “We’re focused on one year at a time,” he said. “It doesn’t matter what happened last year or the last six years.
Hoffmann's reflex (Hoffmann's sign, sometimes simply Hoffmann's, or finger flexor reflex) [1] is a neurological examination finding elicited by a reflex test which can help verify the presence or absence of issues arising from the corticospinal tract. It is named after neurologist Johann Hoffmann. [2]