Subacute combined degeneration of the spinal cord in a vegan
► We present a case of myelopathy and neuropathy by vitamin B12 deficiency in a vegan. ► MRI and neurophysiological studies showed spinal cord and peripheral nerves damage. ► Neurological disturbances, neurophysiological and spinal cord MRI abnormalities disappeared after cyanocobalamin treatment. ► Vegans should be informed about the potential risk for their health and take daily supplements of vitamin B12 for life. ► Neurologists should consider vitamin B12 deficiency in vegans who develop signs of myelopathy and/or peripheral neuropathy, to make a timely diagnosis and avoid irreversible neurological damages.
Nutrition Reviews 02/1997; 55(1 Pt 2):S61-5; discussion S65-8. DOI:10.1111/j.1753-4887.1997.tb06106.x · 5.54 Impact Factor
Internal Medicine 02/2006; 45(10):705-6. DOI:10.2169/internalmedicine.45.1731 · 0.97 Impact Factor