Spastic Quadreparesis - An Unusual Presentation of Sub-acute Combined Degenaration of Spinal Cord

Authors

  • Mohammad Syedul Islam Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka
  • Afroja Alam Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka
  • Md Adnan Hasan Masud Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka
  • Md Abul Kalam Azad Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka
  • Md Abdur Rahim Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka

DOI:

https://doi.org/10.3329/jom.v14i1.14585

Keywords:

Spastic quadriplegia, Subacute combined degeneration, Vitamin B12 deficiency

Abstract

We report a case of a 45-year-old gentleman presenting with numbness of both legs and hands. He has anemia, spastic quadriplegia with exageraterd tendon jerks with lose of vibration and position sense. Investigations revealed combined deficiency anemia with low serum vitamin B12. His MRI of cervicel spine was normal. Endoscopically he had atrophic gastritis. Ultimately he was dignosed as a case of sub-acute combined degeneration of spinal cord due to pernicious anemia. Patient was treated with injection vitamin B12 and well responded. On his followup, he had significant clinical improvement. This is a reversible condition if early diagnosis can be made and vitamin B12 therapy promptly given. Delayed treatment can result in irreversible neurological impairment.

DOI: http://dx.doi.org/10.3329/jom.v14i1.14585

J MEDICINE 2013; 14 : 85-87

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Author Biographies

Mohammad Syedul Islam, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka

Research Assistant, Department of Medicine,

Afroja Alam, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka

Assistant Professor (RP), Department of Medicine

Md Adnan Hasan Masud, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka

Consultant, Department of Medicine

Md Abul Kalam Azad, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka

Associate Professor, Department of Medicine

Md Abdur Rahim, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka

Professor, Department of Medicine

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Published

2013-04-15

How to Cite

Islam, M. S., Alam, A., Masud, M. A. H., Azad, M. A. K., & Rahim, M. A. (2013). Spastic Quadreparesis - An Unusual Presentation of Sub-acute Combined Degenaration of Spinal Cord. Journal of Medicine, 14(1), 85–87. https://doi.org/10.3329/jom.v14i1.14585

Issue

Vol. 14 No. 1 (2013)

Section

Case Reports

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