{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:33:04Z","timestamp":1747193584912,"version":"3.40.5"},"reference-count":23,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T00:00:00Z","timestamp":1686182400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T00:00:00Z","timestamp":1686182400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Neurol"],"abstract":"<jats:p>Nitrous oxide-induced myelopathy is a relatively well-known clinical entity. Less well-known, however, is the rare inverse Lhermitte phenomenon, where neck flexion elicits an ascending, rather than descending, electric shock-like sensation. This is a characteristic symptom and sign that may occur in nitrous oxide toxicity. In this article, we present the case of a patient who was admitted to our hospital with suspected Guillain-Barr\u00e9 syndrome due to her ascending numbness and unsteady gait. We describe her examination and laboratory features leading to the correct diagnosis, along with a historical review of the various subtypes of the Lhermitte phenomenon and the pathophysiology of nitrous oxide-induced myelopathy. <\/jats:p>","DOI":"10.1159\/000529325","type":"journal-article","created":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T21:27:04Z","timestamp":1687210024000},"page":"81-86","source":"Crossref","is-referenced-by-count":0,"title":["The Inverse Lhermitte Phenomenon Suggests Nitrous Oxide-Induced Myelopathy: Case Report and Review of the Literature"],"prefix":"10.1159","volume":"15","author":[{"given":"Sonali","family":"Sharma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Benatar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3779-5738","authenticated-orcid":false,"given":"Steven","family":"Herskovitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6519-7225","authenticated-orcid":false,"given":"Volkan","family":"Granit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2023,6,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.nu.12.070192.000423"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2007.05.002"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.45.4.308"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1989.00520410091029"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.28.5.504"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.12372"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2002.02414.x"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1053\/bean.2002.0264"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1093\/jhmas\/57.2.161"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1177\/0269881116632375"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.yrtph.2015.10.017"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1177\/0269881119882532"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007\/BF00812159"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(78)92101-3"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.28.5.485"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1177\/0004867417748752"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8040551"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2012-008509"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2016.08.005"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13997"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.2533"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1212\/CPJ.0000000000000014"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2016.00038"}],"container-title":["Case Reports in Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/crn\/article-pdf\/15\/1\/81\/4124989\/000529325.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/crn\/article-pdf\/15\/1\/81\/4124989\/000529325.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:12:27Z","timestamp":1745421147000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000529325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,8]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12,22]]}},"URL":"https:\/\/doi.org\/10.1159\/000529325","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.23310215","asserted-by":"subject"}]},"ISSN":["1662-680X"],"issn-type":[{"type":"electronic","value":"1662-680X"}],"subject":[],"published":{"date-parts":[[2023,6,8]]}}}