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Journal of the Korean Academy of Rehabilitation Medicine 2009;33(6):711-714.
A Case of Combined Compressive and Vitamin B12 Deficient Myelopathy: A case report.
Park, Sung Jun , Kwon, Bum Sun , Koo, Joon Bum , Park, Jin Woo , Ryu, Ki Hyung , Lee, Ho Jun , Yoon, Tae Sang
1Department of Rehabilitation Medicine, College of Medicine Dongguk University, Korea. bskwon@duih.org
2Department of Radiology, College of Medicine Dongguk University, Korea.
압박성 척수병증이 동반된 비타민 B12 결핍성 척수병증 일례-증례 보고-
박성준, 권범선, 구준범1, 박진우, 류기형, 이호준, 윤태상
동국대학교 의과대학 재활의학교실, 1방사선학교실
Abstract
Vitamin B12 deficiency can cause myelopathy of subacute combined degeneration of lateral and dorsal column in spinal cord. When combined with compressive myelopathy, symptoms and signs of vitamin B12 deficient myelopathy could be masked. We experienced a case of forty-one year old man suffered from gait disturbance and decreased proprioception. Initially surgeons concluded his weakness resulted from myelopathy by C5-6 centrally herniated disk based on MRI and surgical decompression was performed. Gait disturbance slightly improved but decreased proprioception did not improve. Vitamin B12 deficiency was found and high signal intensity lesions were found in dorsal and lateral spinal column with review of pre-op MRI. After administration with vitamin B12 supplements, weakness and sensation of proprioception improved and follow-up MRI showed decreased signal intensity. We concluded the cause of his symptoms was combination of compressive myelopathy and vitamin B12 deficient myelopathy. (J Korean Acad Rehab Med 2009; 33: 711-714)
Key Words: Subacute combined degeneration, Myelopathy, Vitamin B12


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