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Arch Neurol. 1999;56:1515-1516.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

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.

On examination, he had reduced 2-point discrimination in his fingers and diminished appreciation of vibration sense in his fingers and feet. Tone, power, coordination, spinothalamic and joint position sensation, and reflexes were normal; plantar responses were flexor. The clinical features suggested an abnormality within the cervical cord, and demyelination was originally thought to be the most likely cause.

Magnetic resonance imaging scans of the cervical cord showed increased signal intensity on T2-weighted images from . . . [Full Text of this Article]

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