A Case of Combined Compressive and Vitamin B12 Deficient Myelopathy: A case report
Journal of the Korean Academy of Rehabilitation Medicine
;
: 711-714, 2009.
Artigo
em Coreano
| WPRIM
| ID: wpr-722930
ABSTRACT
Vitamin B12 deficiency can cause myelopathy of subacute combined degeneration of lateral and dorsal column in spinal cord. When combined with compressive myelopathy, symptoms and signs of vitamin B12 deficient myelopathy could be masked. We experienced a case of forty-one year old man suffered from gait disturbance and decreased proprioception. Initially surgeons concluded his weakness resulted from myelopathy by C5-6 centrally herniated disk based on MRI and surgical decompression was performed. Gait disturbance slightly improved but decreased proprioception did not improve. Vitamin B12 deficiency was found and high signal intensity lesions were found in dorsal and lateral spinal column with review of pre-op MRI. After administration with vitamin B12 supplements, weakness and sensation of proprioception improved and follow-up MRI showed decreased signal intensity. We concluded the cause of his symptoms was combination of compressive myelopathy and vitamin B12 deficient myelopathy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Propriocepção
/
Sensação
/
Medula Espinal
/
Compressão da Medula Espinal
/
Doenças da Medula Espinal
/
Coluna Vertebral
/
Vitamina B 12
/
Vitaminas
/
Deficiência de Vitamina B 12
/
Seguimentos
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Idioma:
Coreano
Revista:
Journal of the Korean Academy of Rehabilitation Medicine
Ano de publicação:
2009
Tipo de documento:
Artigo
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