Subacute combined degeneration of cord - vitamin B12 deficiency

Case contributed by Dr Nafisa Shakir Batta


Progressive tingling and numbness in both hands.

Patient Data

Age: 40 years
Gender: Female

Cervical cord edema and minimal expansion are noted, discretely involving the posterior column tracts, simulating the inverted V sign on axial imaging, consistent with subacute combined degeneration of the cord. This is due to vitamin B12 deficiency.

Case Discussion

The above findings are in keeping with subacute combined degeneration of the cervical cord.

The patient's symptoms improved after initiating vitamin therapy.

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Case information

rID: 29761
Published: 20th Jun 2014
Last edited: 12th Oct 2020
Inclusion in quiz mode: Included

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