Patrycja Mucha
Natalia Leksa
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David Aebisher
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Sabina Galiniak
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Seweryn Bartosz
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Dawid Leksa
Dorota Bartusik-Aebisher
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Department of Neurology, MSWiA Hospital, Rzeszów, Poland
Institute of Medical Sciences, Medical College, University of Rzeszow, Rzeszow, Poland
Department of Photomedicine and Physical Chemistry, Medical College of Rzeszów University, Rzeszów, Poland
Department of Biochemistry and General Chemistry Medical College of Rzeszów University, Rzeszów, Poland
Department of Neurology, MSWiA Hospital, Rzeszów, Poland
Rzeszów Center for Vascular and Endovascular Surgery, Rzeszow, Poland
Department of Biochemistry and General Chemistry, Medical College of the University of Rzeszow, University of Rzeszow, Rzeszow, Poland
Received: 2 April 2020 / Accepted: 3 May 2020 / Published: 30 June 2020

Abstract

Introduction. Subacute degeneration of the posterior and lateral spinal cord is a rare neurological complication of B12 avitaminosis.

Aim. In this paper, we present the case of a 65-year-old man who, in the course of long-term vitamin B12 deficiency associated with atrophic gastritis, developed a severe set of neurological symptoms that are part of the retinal spinal cord degeneration with characteristic features in MR imaging of the cervical spine in the form of an inverted “V mark” ‘in axial images and typical localization in the spinal cord.

Description of the case. After careful analysis of the syndrome and making an early diagnosis, parenteral vitamin B12 supplementation began, resulting in improved neurological status, laboratory parameters as well as regression of changes in magnetic resonance imaging.

Conclusion Significant symptoms of this syndrome are paresthesia in the distal parts of the limbs, ataxia, spastic paresis.

 

Cite

Mucha P, Leksa N, Aebisher D, Galiniak S, Bartosz S, Leksa D, Bartusik-Aebisher D. Generation of retractive spine circuits in the process of vitamin B12 deficiency. Eur J Clin Exp Med. 2020;18(2):131–134. doi: 10.15584/ejcem.2020.2.9

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