Subacute combined degeneration of the spinal cord in a vegan

Department of Neurological Sciences, Federico II University, and Department of Neurophysiology, San Gennaro Hospital, Via Pansini 5, 80131 Naples, Italy.
Clinical neurology and neurosurgery (Impact Factor: 1.13). 02/2012; 114(7):1000-2. DOI: 10.1016/j.clineuro.2012.01.008
Source: PubMed


► 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.

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