Long-standing vitamin B12 deficiency can lead to neurological manifestations such as optic atrophy and subacute combined degeneration of the cord without causing significant anemia. In addition, folic acid supplementation could mask hematological delay presentation We present a case 32-year-old vegan woman on long-term sodium valproate treatment presenting with progressive weakness bilateral lo...

A 28-year-old vegetarian woman with pernicious anemia developed progressive leg spasticity and psychosis leading to food paranoia severe malnutrition. She presented encephalopathy, anemia, hypoalbuminemia, deficiency of zinc vitamins B1, B6, B12. MRI revealed a lesion the splenium corpus callosum (figure 1) spinal cord changes 2). This case shows combination findings associated vitamin deficien...

Chemotherapy-related myelopathy mimicking subacute combined degeneration (SCD) has rarely been reported. We encountered a 35-year-old female with sensory ataxia after intrathecal chemotherapy. Spinal magnetic resonance imaging showed localized abnormal signal areas in the lateral and dorsal white matter, mimicking SCD. Diffusion imaging showed restricted water diffusion and increased microstruc...