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Reversibility of neurological deficits in vitamin B12 deficiency
Authors:Ulf Havelius  Bengt Hindfelt  Ingmar Rosén
Affiliation:(1) Departments of Neurology, University Hospital, S-22185 Lund, Sweden;(2) Clinical Neurophysiology, University Hospital, S-22185 Lund, Sweden;(3) Present address: Department of Ophthalmology, University Hospital, S-214 01 Malmoe, Sweden
Abstract:Summary A female patient with subacute neurological deficits secondary to an hereditary vitamin B12 deficiency was repeatedly examined clinically and neurophysiologically. It is concluded that neurological normalization after treatment with vitamin B12 also occurs within the CNS. Such normalization takes place soon after initiating treatment and probably reflects other neuronal mechanisms than remyelination, i.e. recovery from conduction block in fast somatosensory pathways and/or improvement of synaptic transmission.
Keywords:Vitamin B12  Subacute combined degeneration of spinal cord  Visual evoked responses  Sensory evoked responses  Motor and sensory nerve conduction velocities  Neurological restitution
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