Lhermitte's sign and vitamin B12 deficiency: case report.

Hélio Afonso Ghizoni Teive, Salo Haratz, Jorge Zavala, Renato Puppi Munhoz, Rosana Hermínia Scola, Lineu César Werneck

Journal: Sao Paulo medical journal = Revista paulista de medicina 2010;127(3):171-3

PMID: 19820879

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Abstract

CONTEXT AND OBJECTIVE

Lhermitte's sign, a classical neurological sign, is a rare manifestation of vitamin B12 deficiency. The aim here was to report on a case of an elderly patient with vitamin B12 deficiency whose first clinical manifestation was the presence of Lhermitte's sign.

CASE REPORT

We describe an elderly patient with vitamin B12 deficiency who presented cognitive dysfunction, peripheral polyneuropathy and sensory ataxia, and whose first clinical manifestation was the presence of Lhermitte's sign. This sign is one of the rarest manifestations of vitamin B12 deficiency.

Address: Neurology Service , Department of Internal Medicine, Hospital das Clínicas, Universidade Federal do Paraná (UFPR), Paraná, Brazil. [email protected]

DOI: 10.1590/s1516-31802009000300011

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MeSH Terms: Aged, Humans, Male, Paresthesia, Vitamin B 12 Deficiency