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Syringomyelia-like manifestation of subacute combined degeneration.

Authors
  • Puri, Vinod
  • Chaudhry, Neera
  • Gulati, Parveen
Type
Published Article
Journal
Journal of Clinical Neuroscience
Publisher
Elsevier
Publication Date
Aug 01, 2004
Volume
11
Issue
6
Pages
672–675
Identifiers
PMID: 15261251
Source
Medline
License
Unknown

Abstract

A 32-year-old male presented with progressive weakness and numbness of both upper limbs of one-month duration. The patient had weakness and wasting of small muscles of both hands with weak grip. Sensory system revealed graded sensory loss to pain, temperature and touch in C5 to T1 distribution and vibration and joint position sense from C5 to C8 in the both upper limbs. There was areflexia in the upper limbs while there was no motor or sensory deficit in the lower limbs. The cortical potential on stimulation of posterior tibial nerve was prolonged on both sides. On MR imaging of the cervical spine there was iso to low intense lesion which was hyperintense on T2-weighted imaging along the dorsal aspect of the cord extending from C2 to C6 level. The axial images showed involvement of the posterior column. The serum vitamin B12 level was found to be low. The patient responded to parenteral cyanocobalamine therapy and the radiological lesion subsequently resolved.

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