Lhermitté Sign

Execution:

  1. Patient is sitting or standing
  2. The patient is asked to maximally flex the neck

 

Positive Outcome: The patient experiences an electrical type response or pins and needles sensation down the spine possibly extending into the extremities

Study Reliability Sn Sp LR+ LR-
Uchihara et al. (1994) NA 3 97 1 1
Comment: Literature on this test is sparse although it is widely used in patients with multiple sclerosis, cervical myelopathy, cervical spondylitis, trauma and other conditions affecting the dorsal column