Early treatment of subacute combined degeneration of the spinal cord in pernicious anemia will improve the outcome

Vitamin B12 deficiency is probably more common than what reported in the literature. an essential vitamin, and its can lead to neuropsychiatric manifestations such as peripheral neuropathy, myelopathy, cerebellar ataxia, dementia, delirium, even psychosis mood disorders. We report a case of 45 year old polish male presented with symptoms signs suggestive SCD spinal cord, due severe vitamin result pernicious anemia. Cervical spine MRI showed enhancement bilateral posterior columns cervical cord classic inverted V appearance. Metabolic workup revealed deficiency, complete blood analysis indicated megaloblastic Intramuscular injection cobalamin was started on timely manner resolution symptoms.