The neurologist asks me to bend my head forward and immediately I feel a shock of sensation travel down my arms into my fingers. It’s kind of a vibration, buzzing, or tingling more than a shooting pain. I have just shown a positive L’Hermitte's sign .
The extra buzzing I felt is called a dysesthesia since the unusual sensation was provoked by bending my head forward, in contrast to a paresthesia which describes spontaneous tingling, buzzing, partial numbness, sharp pains, or electrical shocks. I get those too.
Not everybody experiences the L’Hermitte's symptom in the same way. For some patients, it is described as an intense electric shock which feels like you’ve just shoved a finger or toe into an electrical outlet. For some, it may just be a very subtle tingling in the fingers, legs, or toes. Or for others, the wave of sensation can also travel down the truck or upwards to the head.
I have been asked, &l...
Treatment The goals of treatment for multiple sclerosis are: Modify the disease course by reducing the number and severity of relapses (also called exacerbations or flares), reducing accumulation of lesions, and slowing the progression of disability Treat relapses on a short-term as-needed basis Manage symptoms Patients are recommended to seek care from a neurologist experienced in treating multiple sclerosis. Early Treatment . Evidence strongly suggests that the most destructive changes from multiple sclerosis in the brain occur very early on in the disease process -- and may cause considerable damage even before symptoms begin. Many doctors recommend treatment after a first neurological episode of MS (a clinically isolated syndrome) using disease-modifying drugs. The best current approach is to use specific findings from MRI scans to determine patients at highest risk for progression, making them likely candidates for early treatment with these drugs. Over a third of patients will progress e...
Consider the following hypothetical situations: 1. You’re at a family gathering and talking to Cousin MD.
“Cousin MD, I’ve got a question. Whenever I try to make a prayer sign behind my back, my left shoulder hurts. What should I do?” Cousin MD: “Cousin, I suggest you don’t do that.”
2. You’re at home (age 12 or so) and talking to your Mom.
“Hey Mom, I’ve got a question. Whenever I touch the hot stove, it hurts my fingers. What should I do?” Mom: “DON’T DO THAT!! You’ll burn yourself.”
3. You’re meeting a friend for lunch at a local restaurant.
Friend: “Goodness! How did you do that to your hand?” “Do what?” (looking at your left hand) Friend: “I mean THAT, look at the side of your right hand.” “Oh, I didn’t know that was there. I don’t know. Maybe I burned my hand on the iron w...
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