Progressive subacute combined degeneration: A severe relapse with discontinuation of vitamin B12 treatment Progresif subakut kombine dejenerasyon: B12 vitamini tedavisinin bırakılmasıyla oluşan şiddetli bir nüks olgusu
Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, cilt.62, sa.4, ss.369-372, 2016 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 62 Sayı: 4
- Basım Tarihi: 2016
- Doi Numarası: 10.5606/tftrd.2016.00236
- Dergi Adı: Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.369-372
- Anahtar Kelimeler: Paraparesis, subacute combined degeneration, vitamin B12
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Subacute combined degeneration is a rare clinical manifestation characterized by dysesthesia, deep sensory impairment and spastic paraparesis. A 62-year-old male patient was admitted to the outpatient clinic with the complaint of difficulty in walking. We detected he had position and vibration loss in all extremities, bilateral weakness in legs, spasticity and increase in deep tendon reflexes. History of the patient revealed that he was previously examined in a neurology clinic for sensory disturbance and his complaints declined after vitamin B12 deficiency was detected and treated. Following the discontinuation of treatment, we took the patient admitted to our clinic with spastic paraplegia to the inpatient physical therapy program and we applied B12 replacement; we follow-up the patient who can ambulate with the aid of a walker upon discharge.