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Subacute combined degeneration of cord

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

Ascending limb paralysis/weakness.

Patient Data

Age: 25 years
Gender: Female

A long segment of bilateral symmetric T2 hyperintense signal intensities affecting the dorsal columns of the cervicothoracic cord with an inverted V sign.

Case Discussion

Classical example of subacute combined degeneration of the cord due to vitamin B12 deficiency.

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