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Vitamin B12 deficiency (sub-acute combined degeneration)

Berger, M.D. RBM - MedPix (2015)

View Article: MedPix Image - MedPix Case

Affiliation: University of Kansas, Wichita

ABSTRACT

Diagnosis: Vitamin B12 deficiency (sub-acute combined degeneration)

History: 60 y/o man with rapid onset of gait ataxia and loss of proprioception. He had shoulder surgery 2 weeks prior and received nitrous oxide anesthesia.

Findings: Increased T2 signal in the dorsal columns of the spinal cord (bilateral)

Ddx: subacute combined degeneration lightning strike to upper body NO2 Toxicity HIV Myelopathy spinal dural AV fistula transverse myelitis multiple sclerosis radiation leptomeningeal carcinomatosis compressive myelopathy

Dxhow: Classic image findings

Exam: CBC shows an MCV of 115.

No MeSH data available.


Patterns of abnormal hyperintense signal of the spinal cord, shown on T2W MR.  Our patient best matches the posterior column lesion.  This is most consistent with subacute combined degeneration or tabes dorsalis (neur-syphilis).
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MPX1688_synpic61051: Patterns of abnormal hyperintense signal of the spinal cord, shown on T2W MR. Our patient best matches the posterior column lesion. This is most consistent with subacute combined degeneration or tabes dorsalis (neur-syphilis).


Vitamin B12 deficiency (sub-acute combined degeneration)

Berger, M.D. RBM - MedPix (2015)

Patterns of abnormal hyperintense signal of the spinal cord, shown on T2W MR.  Our patient best matches the posterior column lesion.  This is most consistent with subacute combined degeneration or tabes dorsalis (neur-syphilis).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1688&req=5

MPX1688_synpic61051: Patterns of abnormal hyperintense signal of the spinal cord, shown on T2W MR. Our patient best matches the posterior column lesion. This is most consistent with subacute combined degeneration or tabes dorsalis (neur-syphilis).

View Article: MedPix Image - MedPix Case

Affiliation: University of Kansas, Wichita

ABSTRACT

Diagnosis: Vitamin B12 deficiency (sub-acute combined degeneration)

History: 60 y/o man with rapid onset of gait ataxia and loss of proprioception. He had shoulder surgery 2 weeks prior and received nitrous oxide anesthesia.

Findings: Increased T2 signal in the dorsal columns of the spinal cord (bilateral)

Ddx: subacute combined degeneration lightning strike to upper body NO2 Toxicity HIV Myelopathy spinal dural AV fistula transverse myelitis multiple sclerosis radiation leptomeningeal carcinomatosis compressive myelopathy

Dxhow: Classic image findings

Exam: CBC shows an MCV of 115.

No MeSH data available.