Sign
Of Spinal Cord Compression
A Hoffmann (or Tinel's
sign or Patel's sign)
is a tingling sensation triggered by a mechanical stimulus in the distal part
of an injured nerve. This sensation radiates peripherally, from the point where
it is triggered to the cutaneous distribution of the nerve. The tingling
response can be compared with that produced by a weak electric current, as in transcutaneous
electrical nerve stimulation (TENS). This unpleasant sensation is not a severe pain and does not
persist.[5]
Lhermitte's
phenomenon or the Lhermitte phenomenon (/lɛərˈmiːt/), sometimes called the barber chair phenomenon, is
an electrical sensation that runs down the back and into the limbs. The
sensation can feel like it goes up or down the spine. It is generally
considered uncomfortable. In many
patients, it is elicited by bending the head forward.[1] It can also be evoked when a practitioner
pounds on the posterior cervical spine while the neck is flexed; this is caused
by involvement of the posterior columns. It is sometimes called Lhermitte's sign, though this
is technically incorrect as a sign is something that can be observed on
examination whereas a symptom is the subjective experience. Lhermitte's
phenomenon is subjective and therefore a symptom. Lhermitte's
phenomenon is named for French neurologist Jean
Lhermitte.
inverted radial reflex → flexion
of the fingers without flexion of the forearm, on tapping the lower end of the
radius; regarded as indicating a lesion of the fifth cervical segment of the
spinal cord.
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