Subacute combined degeneration of the spinal cord

Case contributed by Roberto Schubert
Diagnosis almost certain

Presentation

Paresthesia of both upper extremities.

Patient Data

Age: 25 years
Gender: Male

Cervical spine

mri

T2 hyperintense signal mainly affecting the dorsal columns and extending from the cervical into the thoracic cord. No mass effect. No contrast enhancement.

Case Discussion

Intrinsic factor deficiency was diagnosed and the patient was put on vitamin B12 replacement therapy.

Main differential diagnoses

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.