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Case Report

Recurrent Atopic Myelitis Presenting as an Isolated Lhermitte’s Sign

Ki-Hwan Ji1, Won-Cheol Choi2, Jung Hwa Seo1, Eun Joo Chung1, Sang-Jin Kim1, Oeung Kyu Kim1, Jong Seok Bae1
Korean Journal of Clinical Neurophysiology 2013;15(2):68-70.
Published online: December 31, 2013
1Department of Neurology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
2Samsung Hapcheon Hospital, Hapcheon, Korea
Corresponding author:  Jong Seok Bae, Tel: +82-51-890-6148, Fax: +82-51-890-6130, 
Email: jsb_res@hotmail.co.kr
Received: 3 September 2013   • Accepted: 13 December 2013
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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.

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