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Images in Neurology
August 2015

Dejerine Hand Phenomenon

Author Affiliations
  • 1Neurosurgery Department, University Hospital Germans Trias i Pujol, Barcelona, Spain
 

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Neurol. 2015;72(8):940. doi:10.1001/jamaneurol.2015.0590

A man in his mid-60s had a 6-week progression of motor and sensitive disturbances in all 4 limbs. He had a history of episodic cervicalgia but no active neck pain. Examination revealed distal 3/5 paresis in the arms, distal 4/5 paresis in the legs, paresthesia-hypoesthesia in all limbs without radicular pain, 3/4 hyperreflexia, Ashworth 1 spasticity with mild clonus, and sensitive gait ataxia. Lhermitte sign was absent. Bilateral Hoffmann, Babinski, and Dejerine reflexes were present.

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