Feb 08
History (HX):
Paresis of both upper limbs and right lower limb
Male 75yr
Findings:
Sagital and axial T2WI show symmetric, longitudinally ariented zones of high signal intensity involving the dorsal columns of the spinal cordDiagnostic (DX):
Subacute combined degeneration of the spinal cord (SDC of the spinal cord)
Discussion:
Intramedullary signal abnormalities can resolve after correction of the vitamin B12 deficiency



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