Annals of Clinical Neurophysiology

  • 제15권2호
  • /
  • Pages.68-70
  • /
  • 2013
  • /
  • 2508-691X(pISSN)
  • /
  • 2508-6960(eISSN)
대한임상신경생리학회 (The Korean Society of Clinical Neurophysiology)
권호 표지

레미떼징후 단독으로 나타난 재발성 아토피척수염

Recurrent Atopic Myelitis Presenting as an Isolated Lhermitte's Sign

  • 지기환 (인제대학교 의과대학 부산백병원 신경과학교실) ;
  • 최원철 (삼성합천병원) ;
  • 서정화 (인제대학교 의과대학 부산백병원 신경과학교실) ;
  • 정은주 (인제대학교 의과대학 부산백병원 신경과학교실) ;
  • 김상진 (인제대학교 의과대학 부산백병원 신경과학교실) ;
  • 김응규 (인제대학교 의과대학 부산백병원 신경과학교실) ;
  • 배종석 (인제대학교 의과대학 부산백병원 신경과학교실)
  • Ji, Ki-Hwan (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Choi, Won-Cheol (Samsung Hapcheon Hospital) ;
  • Seo, Jung Hwa (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Chung, Eun Joo (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Sang-Jin (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Oeung Kyu (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine) ;
  • Bae, Jong Seok (Department of Neurology, Busan Paik Hospital, Inje University College of Medicine)
  • 투고 : 2013.09.03
  • 심사 : 2013.12.13
  • 발행 : 2013.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Isobe N, Kanamori Y, Yonekawa T, Matsushita T, Shigeto H, Kawamura N, et al. First diagnostic criteria for atopic myelitis with special reference to discrimination from myelitis-onset multiple sclerosis. J Neurol Sci 2012;316:30-35. https://doi.org/10.1016/j.jns.2012.02.007
  2. Kira J, Yamasaki K, Kawano Y, Kobayashi T. Acute myelitis associated with hyperIgEemia and atopic dermatitis. J Neurol Sci 1997;148:199-203. https://doi.org/10.1016/S0022-510X(97)05369-0
  3. Lee KJ, Baek IC, LEE JY, Kim SB, Park SM, Lim JG, et al. Characterisitcs of atopic myelitis and its relationship with toxocara canis myelitis. J Korean Neurol Assoc 2013;31:158-164.
  4. Yoon JH, Joo IS, Li WY, Sohn SY. Clinical and laboratory characteristics of atopic myelitis: Korean experience. J Neurol Sci 2009;285:154-158. https://doi.org/10.1016/j.jns.2009.06.033
  5. Osoegawa M, Ochi H, Minohara M, Murai H, Umehara F, Furuya H, et al. Myelitis with atopic diathesis: a nationwide survey of 79 cases in Japan. J Neurol Sci 2003;209:5-11. https://doi.org/10.1016/S0022-510X(02)00441-0
  6. Kempster PA, Rollinson RD. The Lhermitte phenomenon: variant forms and their significance. J Clin Neurosci 2008;15:379-381. https://doi.org/10.1016/j.jocn.2007.05.002
  7. Gemici C. Lhermitte's sign: Review with special emphasis in oncology practice. Crit Rev Oncol Hematol 2010;74:79-86. https://doi.org/10.1016/j.critrevonc.2009.04.009
  8. Al-Araji AH, Oger J. Reappraisal of Lhermitte's sign in multiple sclerosis. Mult Scler 2005;11:398-402. https://doi.org/10.1191/1352458505ms1177oa