Of dots and levels: a case of partial subacute combined degeneration.
Pernille Ravn JakobsenJerry A GeorgeRajinder K DhamijaPublished in: Tropical doctor (2020)
Subacute combined degeneration of the spinal cord is a typical clinical syndrome due to vitamin B12 deficiency, characterised by the involvement of the posterior column and corticospinal tracts. Occasionally, it may present with atypical features such as a sensory level and Lhermitte's sign, both traditionally considered to be a feature of compressive myelopathy. Spinal magnetic resonance imaging strongly augments the diagnosis by exhibiting changes in the posterior column in the form of a 'dot'. We describe such a patient who responded to therapy.
Keyphrases
- spinal cord
- magnetic resonance imaging
- case report
- neuropathic pain
- spinal cord injury
- liquid chromatography
- machine learning
- computed tomography
- deep learning
- solid phase extraction
- transcranial magnetic stimulation
- replacement therapy
- bone marrow
- magnetic resonance
- high frequency
- fluorescent probe
- neural network
- quantum dots