Presentation
Patient presented with memory loss, gait ataxia, and distal muscle weakness.
Patient Data
Age: 45 years
Gender: Female
From the case:
Subacute combined degeneration of the cord
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There is an abnormal high T2 cord signal in the dorsal columns over a relatively long segment (from C2 to C7), giving the Inverted V sign (spinal cord) appearance, likely representing subacute combined degeneration.
Disc herniations at C3-C4, C4-C5 and C5-C6 levels are noted.
Case Discussion
Subacute combined degeneration (SACD) is caused by Vitamin B12 deficiency
Involvement of the cord indicates the presence of neurological deficit.