脊髓亚急性联合变性中的莱尔米特征。
Lhermitte's sign in subacute combined degeneration of the cord.
作者信息
Gautier-Smith P C
出版信息
J Neurol Neurosurg Psychiatry. 1973 Oct;36(5):861-3. doi: 10.1136/jnnp.36.5.861.
Lhermitte's sign is a common early symptom of subacute combined degeneration of the cord occurring in 11 out of 44 patients admitted to the National Hospitals for Nervous Diseases during the decade 1962-71 with this diagnosis. Two patients, in both of whom it was the presenting complaint, are described in detail. It is concluded that, in these cases, Lhermitte's sign is due to stretching of demyelinated fibres in the posterior columns in the cervical cord, produced by neck flexion. The symptoms disappear after treatment with vitamin B(12). The clinical importance of this symptom is emphasized.
莱尔米特征是亚急性联合变性脊髓病常见的早期症状，在1962年至1971年这十年间，国立神经疾病医院收治的44例诊断为此病的患者中，有11例出现该症状。详细描述了2例以该症状为首发主诉的患者。得出的结论是，在这些病例中，莱尔米特征是由于颈部屈曲导致颈髓后柱脱髓鞘纤维受牵拉所致。维生素B12治疗后症状消失。强调了该症状的临床重要性。
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