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Rod has begun having brief electric shock waves going through his body, starting at the neck, then hitting his arms & legs. I have read that Lhermitte's sign can be caused through IMRT in head & neck patients. We are going to the GP on Thursday, and oncologist visit on Feb 13th.....


Jeanna
Wife/Carer of Rod, 56, Dx 5/3/09, SCC Oropharnyx T4 N2, End Tx 28th 07/09, 7wks Rad, 3 Cisplatin, primary tonsil, 4cm Lymph right of neck, 1cm left, in jaw & soft palate & base of tongue. Peg 06/09. CT & PET scans 02/11 - NED. Dentures 20/09/11, PEG out 28/10/11.
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I have something similar but it usually only happens if I've been walking and then bind my neck forward wink good luck!


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
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Here is an article about it...


Lhermitte's Sign and IMRT patients

Last edited by ChristineB; 12-31-2011 07:02 AM. Reason: add link

Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
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Posts: 638
klo Offline
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WOW, we reported this to the RO 3 months out from finish of treatment and he said he had never heard of it!

At the time I thought it was either code for "don't bother me with the side effects - thank your lucky stars the treatment worked" or that it was a cisplatin side effect which the RO knows nothing about.

Anyone have any idea how long it takes to ease off (if it ever does)?

Alex describes it as a shock that comes out the bottom of his feet when he jolts his body (eg steps off a kerb). He also reports it is not as bad as this time last year but he has numbness in the balls of his feet.


Karen
Love of Life to Alex T4N2M0 SCC Tonsil, BOT, R lymph nodes
Dx March 2010 51yrs. Unresectable. HPV+ve
Tx Chemo x 3+1 cycles(cisplatin,docetaxel,5FU)- complete May 31
Chemoradiation (IMRTx35 + weekly cisplatin)
Finish Aug 27
Return to work 2 years on
3 years out Aug 27 2013 NED smile
Still underweight
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Hi Karen,
I was just wondering how things have been for Alex since the end of tx. Our case is similar to yours.
Thanks,
Kathy


Kathy wife/caregiver to:
Kevin age:53
Dx 7/15/11
HPV16+ SCC Stage IV BOT/R
Non smoker, casual drinker
7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11
PEG placed 9/1/11 Removed 11/8/11
Clear PET 10/12 and 10/13 and ct in 6/14
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Hi There,
It's from the imrt radiation. I have it still and I'm 14 months post treatment. I was really scared when I didn't know what it was!


Aug 20th 2010 biopsy POS for SCC R side of Tongue
Sept 2nd 2010, Part Gloss and Selective neck disect and nasogastric tube. Clear Margin, 2 nodes affected with 1 extranodal extension.HPV Neg.
Oct 11th 2010 first of 35 Rads and 5 weeks of Cisplatin
All is well!
Loves life and my beautiful Family smile
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klo Offline
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Hi Kathy
Sorry bit slow on catching up with the question but I'm here now. Alex's "electric shock" started happening 2 months out from treatment and went from his neck to the balls of his feet. He suffered stepping off kerbs and any sort of jolt to his body. Not painful so much as it kept suprising him. 18 months out from treatment, he says it has eased off but just last week started complaining about "lightening bolts" going from the outside of his hip to the inside of his knee - especially when he went to bend over (sounds like femoral nerve involvement which is another long nerve). It doesn't stop him doing anything except feeding the cat and cleaning the bath. He is currently training the cat to use a can opener. I am unsure how he found out that he couldn't clean the bath since this is a once in a decade activity and he did it the year before last. But I digress ... the aches and pains are more annoyance than debilitating nowadays.

Unfortunately, sometimes they get him down a bit when he thinks he is moving one step forward and two steps back. I have to remind him that the reason he is noticing the little aches and pains is because he is not being distracted by the "shoot me now" pains that needed narcotics to control.

He is actually going 3 steps forward and 1 step back. This time last year he couldn't stay awake beyond 8.30pm and was on daily codeine based narcotics, struggled to follow complex ideas to their conclusion and was depressed and highly irritable. Today he takes an over the counter pain med about once a week when his back pain gets the better of him (he had a lung collapse and subsequent lung resection right in the middle of chemo just to make life interesting), keeps regular "old fart" hours (in bed by 10ish), is back to reading his SciFi books and can keep enough ideas in his head to solve the problems of the world.


Karen
Love of Life to Alex T4N2M0 SCC Tonsil, BOT, R lymph nodes
Dx March 2010 51yrs. Unresectable. HPV+ve
Tx Chemo x 3+1 cycles(cisplatin,docetaxel,5FU)- complete May 31
Chemoradiation (IMRTx35 + weekly cisplatin)
Finish Aug 27
Return to work 2 years on
3 years out Aug 27 2013 NED smile
Still underweight

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