Subacute Combined Degeneration of the spinal cord: case report

• Garzón Cutiño, Lisbel ^[2] ; Cabrera Rodríguez, Deborah ^[1] ; Olivera Vega, Maytee ^[2] ; López Reyes, Amanda ^[1] ; Guzmán Camps, Luis Daniel ^[1] ; Pérez Esquivel, Lianet ^[2]
  1. [1] Universidad de Ciencias Medicas

     Universidad de Ciencias Medicas

     Hospital, Costa Rica

     
  2. [2] Hospital Docente Clínico Quirúrgico “Dr. Miguel Enríquez”.Servicio de Neurología. La Habana. Cuba
• Localización: SAP Rehabilitation and Sports Medicine, ISSN-e 3125-246X, Nº. 5, 2025 (Ejemplar dedicado a: Rehabilitation and Sports Medicine)
• Idioma: inglés
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• Resumen

  • Introduction: Subacute Combined Degeneration is a neurological condition that manifests itself by a degeneration of the nerve pathways in the spinal cord affecting the posterior and lateral cords. It is caused by a deficiency of vitamin B12 which affects the brain and peripheral nerves. Magnetic Resonance Imaging (MRI) may not reveal significant changes initially. Electrophysiological studies like somatosensory evoked potentials (SSEPs) are useful for early detection.Case report: A 58-year-old male patient who denies any personal pathological history. He comes to the clinic due to periods of cramps in the lower limbs and ataxia. After two months, he begins to experience loss of muscle strength in both lower limbs. Conclusions: Prompt identification and intervention are vital for the recovery from the deficiency.