• Sao Paulo Med J · Jan 2009

    Review Case Reports

    Lhermitte's sign and vitamin B12 deficiency: case report.

    • Hélio Afonso Ghizoni Teive, Salo Haratz, Jorge Zavala, Renato Puppi Munhoz, Rosana Hermínia Scola, and Lineu César Werneck.
    • Neurology Service , Department of Internal Medicine, Hospital das Clínicas, Universidade Federal do Paraná (UFPR), Paraná, Brazil. hagteive@mps.com.br
    • Sao Paulo Med J. 2009 Jan 1; 127 (3): 171173171-3.

    Context And ObjectiveLhermitte's sign, a classical neurological sign, is a rare manifestation of vitamin B12 deficiency. The aim here was to report on a case of an elderly patient with vitamin B12 deficiency whose first clinical manifestation was the presence of Lhermitte's sign.Case ReportWe describe an elderly patient with vitamin B12 deficiency who presented cognitive dysfunction, peripheral polyneuropathy and sensory ataxia, and whose first clinical manifestation was the presence of Lhermitte's sign. This sign is one of the rarest manifestations of vitamin B12 deficiency.

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