A 44-year-old professional musician presented with the loss of tactile sensation. The symptoms started in his fingertips bilaterally and spread proximally over 1 month to the level of the metacarpophalangeal joints. The symptoms prevented him from playing the viola and were therefore a major handicap. He also complained of an uncomfortable shocklike sensation that radiated down the back of his legs on neck flexion (Lhermitte phenomenon) and a lack of energy with fatigue after minimal exertion.
Weeks RA, Valentine A, Savy L, Wilson LA. Mild Tactile Disturbance and a Lhermitte Phenomenon in a Middle-aged Man. Arch Neurol. 1999;56(12):1515–1516. doi:10.1001/archneur.56.12.1515
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