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Re: nerves and Lhermitte

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There is a condition called Lhermitte's syndrome which can be manifested as a

side effect of many SSRI's and anti-depressants as well as Flagyl.

It could be the cause of your symptoms.

Ora

On Sun, 6 May 2007 14:41:10 -0700 (PDT), jessica giles

wrote:

>I first started getting extreme tingling in my hands

>and feet after using Flagyl (metronidazole) back in

>February, which I've read can be a side effect. Since

>then I still get it occasionally - especially when I'm

>really stressed out. Sometimes it's in my wrists and

>down the back of my leg too. I've had an MRI and

>ruled out spinal injury and brain stuff (MS, etc). It

>seems to be getting better now that I'm taking an

>antidepressant and learning relaxation techniques. So

>maybe it is all stress? for me anyways.

>

>

>

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Hmm scary! Wouldn't this show up on an MRI? My

symptoms have slowly gotten less intense over the

months since Flagyl. I hope it's not Lhermitte's,

what other tests would catch this?

--- taurusrc@... wrote:

> There is a condition called Lhermitte's syndrome

> which can be manifested as a

> side effect of many SSRI's and anti-depressants as

> well as Flagyl.

>

> It could be the cause of your symptoms.

>

> Ora

>

>

> On Sun, 6 May 2007 14:41:10 -0700 (PDT), jessica

> giles

> wrote:

>

> >I first started getting extreme tingling in my

> hands

> >and feet after using Flagyl (metronidazole) back in

> >February, which I've read can be a side effect.

> Since

> >then I still get it occasionally - especially when

> I'm

> >really stressed out. Sometimes it's in my wrists

> and

> >down the back of my leg too. I've had an MRI and

> >ruled out spinal injury and brain stuff (MS, etc).

> It

> >seems to be getting better now that I'm taking an

> >antidepressant and learning relaxation techniques.

> So

> >maybe it is all stress? for me anyways.

> >

> >

> >

>

>

>

__________________________________________________

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Lhermitte's is not a disease. It is a symptom characterized by

sudden transient electric-like shocks extending down the spine triggered by

flexing the head forward.

It is a common side effect of discontinuing some anti-depressants and other

drugs including Flagyl.

http://en.wikipedia.org/wiki/SSRI_discontinuation_syndrome#_note-5

Brain shivers, also known as " the electric brain thing " , " battery head " , " brain

shocks " , " brain zaps " , " blips " , or " brain spasms " , (proposed name: myalotinasis

from Greek for brain + jolt), are a notorious withdrawal symptom of certain

antidepressants and have been seen with discontinuation of most SSRI

antidepressants but specifically with paroxetine, sertraline, venlafaxine and

duloxetine.

Paresthesia and " electric shock sensations " are clinical terms used to describe

this symptom, though paresthesia by definition is clinically incorrect. The

brain shiver effect appears to be almost unique to those antidepressant

chemicals that have an extremely short half-life in the body; that is, they are

quick to disappear completely. This attribute of abruptness leaves the brain a

relatively short time to adapt to a major neurochemical change when you stop

taking the medication, and the symptoms may be caused by the brain's attempt at

readjustment. There is yet no evidence that the shivers present any danger to

the patient experiencing them.

The electric shock sensations reported with neck flexion seem identical to

Lhermitte's sign, which appears with dysfunction of the posterior spinal cord.

This suggests change at a neuronal level.[6]

http://www.medterms.com/script/main/art.asp?articlekey=16049

Definition of Lhermitte sign

Lhermitte sign: Sudden transient electric-like shocks extending down the spine

triggered by flexing the head forward. Due to a disorder such as compression of

the cervical spine (the portion of the spinal cord within the neck).

One patient who experienced Lhermitte sign wrote that: " Looking down to sign a

hotel register, I felt a spasm like an electric current move along my back from

the base of my skull to my toes. Every time I repeated the movement, the spasm

recurred. "

The causes of Lhermitte sign include multiple sclerosis (MS), radiation damage

to the spinal cord), cervical spondylosis (degeneration of the disc spaces

between the vertebrae), herniation of a cervical disc, a cervical spinal cord

tumor, and subacute combined degeneration (caused by vitamin B12 deficiency).

Shocks radiating up the spine are sometimes referred to a reverse Lhermitte

sign.

The sign is named for a French neurologist, Lhermitte (1877-1959) who

originally described it in a patient with multiple sclerosis (MS). It is a

classic sign of MS.

On Mon, 7 May 2007 10:25:28 -0700 (PDT), jessica giles

wrote:

>Hmm scary! Wouldn't this show up on an MRI? My

>symptoms have slowly gotten less intense over the

>months since Flagyl. I hope it's not Lhermitte's,

>what other tests would catch this?

>>

>

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Great post Ora..... those antidepressants (esp. the SSRI's) can have unimaginable dire side effects and the benefits would have to be tremendous for 'me' to ever try one. (it's just me tho.) Very interesting about the Lhermittes .. never heard of it before happening on discontinuation of those (or flagyl) and I see other things can cause it too. But they seem to indicate it's not serious? (Where it says "There is yet no evidence that the shivers present any danger to the patient experiencing them.") I would hope so.

Thanks so much ! it's all interesting eh? ;)

Hugs

Dee~

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Maybe they don't present any danger but they certainly mess up one's mind if

they don't know that.

And when people get those symptoms without knowing why they go to the doctor and

seek help for their new symptoms and sometimes the doctors don't know about the

side effects of withdrawal.

Many physicians do not get informed consent at the time of

initial prescription that covers the difficulties of later

withdrawal from the drug, so this syndrome can be an unexpected

barrier to patients, especially those who tried the drug in

response to a specific crisis, who expected an easy withdrawal

once their emotional situation stabilized.

Ora

>Great post Ora..... those antidepressants (esp. the SSRI's) can have

unimaginable dire side effects and the benefits would have to be tremendous for

'me' to ever try one. (it's just me tho.) Very interesting about the

Lhermittes .. never heard of it before happening on discontinuation of those (or

flagyl) and I see other things can cause it too. But they seem to indicate it's

not serious? (Where it says " There is yet no evidence that the shivers present

any danger to the patient experiencing them. " ) I would hope so.

>

>Thanks so much ! it's all interesting eh? ;)

>Hugs

>Dee~

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