scholarly journals Lessons of the month: Nitrous oxide-induced functional vitamin B12 deficiency causing subacute combined degeneration of the spinal cord

2020 ◽  
Vol 20 (3) ◽  
pp. e7-e9
Author(s):  
Adam Seed ◽  
Meesha Jogia

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Azize Esra Gürsoy ◽  
Mehmet Kolukısa ◽  
Gülsen Babacan-Yıldız ◽  
Arif Çelebi

Subacute combined degeneration (SCD) is a rare neurological complication of vitamin B12 deficiency, characterized by demyelination of the dorsal and lateral spinal cord. Herein, we describe three cases, who presented with SCD, one related to reduced intake of vitamin B12 because of a vegetarian diet and two related to nitrous oxide exposure during surgery. MR images of our patients revealed symmetrical hyperintense signals in dorsal and lateral columns in T2 weighted series. After treatment with intramuscular B12 injections (1 mg daily for 2 weeks, once weekly thereafter for three months) all patients showed improvement of their symptoms. Abnormalities of the spinal cord on MRI resolved in three months. In conclusion, SCD either due to nitrous oxide exposure or due to reduced intake of vitamin B12 is a reversible condition, when detected and treated early.



2019 ◽  
Vol 128 ◽  
pp. 277-283 ◽  
Author(s):  
Wei Sun ◽  
Guangsheng Li ◽  
Zhaohui Lai ◽  
Zhijuan Lu ◽  
Ye Lin ◽  
...  


2013 ◽  
Vol 2013 (sep29 1) ◽  
pp. bcr2013200380-bcr2013200380 ◽  
Author(s):  
H. B. Gowdappa ◽  
M. Mahesh ◽  
K. V. K. S. N. Murthy ◽  
M. G. Narahari




2014 ◽  
Vol 342 (1-2) ◽  
pp. 162-166 ◽  
Author(s):  
Krishan K. Jain ◽  
Hardeep S. Malhotra ◽  
Ravindra K. Garg ◽  
Pradeep K. Gupta ◽  
Bhaswati Roy ◽  
...  


2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Abdulhameed Alhazmi ◽  
Abdulrahman Almalki ◽  
Safieeldin Ghazala

Vitamin B12 deficiency results in hematological, neurological, and rarely dermatological complications. Subacute combined degeneration of the cord is one of the neurological complications, and usually the presenting symptom is paresthesia. Herein, we report a case of a 46-year-old man with subacute combined degeneration presenting with knuckle hyperpigmentation.



Author(s):  
Amanda Guariento Muniz Marques ◽  
Menandro Cardoso Abreu ◽  
Joao Batista Macedo Vianna ◽  
Lucas Porto Ferreira ◽  
Sarah Paranhos Campos ◽  
...  


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