Sensitization of Hoffmann's sign in response to a reverse Lhermitte's sign: a case report.

ABSTRACT:

Background

Neurologic clustering of findings is recommended with Cervical Spondylotic Myelopathy (CSM). Hoffmann's Sign and Reverse Lhermitte's Sign have been associated with CSM, which, however, have not been discussed as the only objective findings that may cause clinical uncertainty.

Case description

This case report describes how sensitizing Hoffmann's Sign following a Reverse Lhermitte's Sign guided reasoning, with a 66-year-old male presenting with a right lumbar radiculopathy diagnosis. Local lumbar symptoms and impairments were identified, however, a Reverse Lhermitte's Sign with cervical extension was the only finding that reproduced right lower extremity (LE) pain. Hoffmann's Sign, the only abnormal neurologic finding, became exaggerated when performed in cervical

SUBMITTER: Kearns G 

PROVIDER: S-EPMC9621270 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature