Clinical Reasoning: A 59-Year-Old Man With Delayed Electric Shock-Like Sensations After a Fall.

NeurologySep 11, 2026 (epub)
Case ReportNeurology

Mehrdad Jafari Tadi, Aishwarya Aggarwal, Yasemin Akinci et al.

✦ AI-curated · Sources linked

Case in brief

A 59-year-old man experienced delayed electric shock-like sensations after a fall, occurring 3-4 weeks post-injury. Initially, he had transient global sensory loss, headache, and neck pain, followed by bilateral upper extremity paresthesias. Weeks later, neck flexion triggered reproducible electric shock-like sensations, consistent with Lhermitte sign. Neurologic examination and MRI studies showed no significant abnormalities.

Diagnostic / clinical pearl

Clinicians should consider delayed sensory phenomena, such as Lhermitte sign, in patients with a history of neck trauma, even when initial imaging is unremarkable.

Source

PubMed · PMID 42727039

Published in Neurology. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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